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NPI Code Detail

MEDICARE: DR. SHELBY ROHR DDS

MEDICARE: DR. SHELBY ROHR DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30.025390OH
21223G0001XGeneral Practice Dentistry30.025390OH

General Provider Information

NPI Number : 1225527732
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELBY ROHR DDS
Provider Business Mailing Address
First Line : 286 STATE ROUTE 511
Second Line :
City : NOVA
State : OH
Zip : 44859-9707
Country : US
Telephone Number : 419-606-7481
Fax Number :
Provider Business Practice Location Address
First Line : 63 E MAIN ST
Second Line :
City : NEW LONDON
State : OH
Zip : 44851-1233
Country : US
Telephone Number : 419-929-1544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2018
Last Update Date : 02/21/2019

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Directions to “ DR. SHELBY ROHR DDS” Practice Location

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