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General NPI Number Information
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NPI Number | 1649134958
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Entity Type | Organization
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Legal Business Name | D ROAHEN PLLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 13094 NC HIGHWAY 50 STE C
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City | SURF CITY
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State | NC
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Zip | 28445-6588
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Country | US
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Telephone | 910-803-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 13094 NC HIGHWAY 50 STE C
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City | SURF CITY
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State | NC
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Zip | 28445-6588
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DAVID CHARLES ROAHEN
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Credential | DMD
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Telephone | 410-703-2887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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