Whalio Doctors

NPI 1235803024

Jordan Isaac Roszhart, DDS

Practitioner General Practice Dentistry Sturgis, SD

Practice location

Address
866 Lazelle St, Sturgis, SD 57785-1611
Phone
(605) 347-8880
Fax
(605) 347-2011

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D1322 (SD)

Registry record

NPI
1235803024
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Aug 2021
Record last updated
4 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.