Healthcare Provider Details

I. General information

NPI: 1639558489
Provider Name (Legal Business Name): DR THOMAS ROHRER ,DMD DR JOY LADELFA ROHRER DMD,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 05/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 GEORGE BUSH BLVD
DELRAY BEACH FL
33483-5717
US

IV. Provider business mailing address

715 GEORGE BUSH BLVD
DELRAY BEACH FL
33483-5717
US

V. Phone/Fax

Practice location:
  • Phone: 561-265-1998
  • Fax: 561-265-3494
Mailing address:
  • Phone: 561-265-1998
  • Fax: 561-265-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number010382
License Number StateFL

VIII. Authorized Official

Name: DR. THOMAS ROHRER
Title or Position: DOCTOR
Credential: DMD
Phone: 561-265-1998