MEDICARE: DR. ZACHARY M ROTH D.D.S.

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
1	1223G0001X	General Practice Dentistry	D008260	AZ

General Provider Information

NPI Number	:	1467740167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY M ROTH D.D.S.

Provider Business Mailing Address
First Line	:	15440 N 71ST ST
Second Line	:	# 307
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-2197
Country	:	US
Telephone Number	:	480-383-9034
Fax Number	:

Provider Business Practice Location Address
First Line	:	10855 N TATUM BLVD
Second Line	:	170
City	:	PHOENIX
State	:	AZ
Zip	:	85028-3052
Country	:	US
Telephone Number	:	480-948-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2011
Last Update Date	:	07/14/2011

Similar Medicare Providers

1316302375 — WE CARE FAMILY DENTAL
Practice Location Address:

10855 N TATUM BLVD , 170
PHOENIX, AZ
85028-3052

Practice Phone: 480-948-2273
Practice Fax:

1174985832 — EPIC FAMILY DENTAL CARE INC
Practice Location Address:

10855 N TATUM BLVD , SUITE 170
PHOENIX, AZ
85028-3052

Practice Phone: 480-948-2273
Practice Fax: 480-948-3449

1467444166 — LIZZETTE PAGAN MD
Practice Location Address:

1823 E MCDOWELL RD
PHOENIX, AZ
85006-3052

Practice Phone: 602-716-5700
Practice Fax: 602-716-5842

1023292737 — WILLIE ROGER COUNTS
Practice Location Address:

3052 E DESERT BROOM WAY
PHOENIX, AZ
85048-8314

Practice Phone: 480-227-1665
Practice Fax:

1134473515 — LIZZETTE PAGAN PLLC
Practice Location Address:

1823 E MCDOWELL RD
PHOENIX, AZ
85006-3052

Practice Phone: 602-716-5700
Practice Fax: 602-716-5842

1457780793 — ELLANA EHRLER PA-C
Practice Location Address:

1823 E MCDOWELL RD
PHOENIX, AZ
85006-3052

Practice Phone: 602-716-5700
Practice Fax:

Directions to “ DR. ZACHARY M ROTH D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.