Healthcare Provider Details

I. General information

NPI: 1497187140
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH ROHE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2647 WATERFRONT PARKWAY EAST DR STE 200
INDIANAPOLIS IN
46214-2020
US

IV. Provider business mailing address

2647 WATERFRONT PARKWAY EAST DR STE 200
INDIANAPOLIS IN
46214-2020
US

V. Phone/Fax

Practice location:
  • Phone: 317-297-1007
  • Fax: 317-405-8694
Mailing address:
  • Phone: 317-297-1007
  • Fax: 317-405-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number12014947A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number12396
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: