MEDICARE: BEATRIZ DE LA ROCHE D.M.D

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	1223P0221X	Pediatric Dentistry	DS030164L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000271462	OTHER	PA	UNITED CONCORDIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2443009	OTHER	PA	AETNA DENTAL

General Provider Information

NPI Number	:	1942429931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ DE LA ROCHE D.M.D

Provider Business Mailing Address
First Line	:	6583 ROUTE 819 S
Second Line	:	SUITE 1
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-3503
Country	:	US
Telephone Number	:	724-542-4818
Fax Number	:	724-542-4828

Provider Business Practice Location Address
First Line	:	6583 ROUTE 819 S
Second Line	:	SUITE 1
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-3503
Country	:	US
Telephone Number	:	724-542-4818
Fax Number	:	724-542-4828

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	12/13/2011

Similar Medicare Providers

1043339476 — TENDER CARE PEDIATRIC DENTISTRY LLC
Practice Location Address:

6583 ROUTE 819 S , SUITE1
MOUNT PLEASANT, PA
15666-3503

Practice Phone: 724-542-4818
Practice Fax: 724-542-4828

1598163982 — PHOENIX REHABILITATION AND HEALTH SERVICES, INC
Practice Location Address:

6583 STATE ROUTE 819 S , SUITE 2
MT PLEASANT, PA
15666-3503

Practice Phone: 724-542-9702
Practice Fax: 724-542-9704

1487172359 — KIDDOS PC
Practice Location Address:

6583 STATE ROUTE 819 S STE 1
MT PLEASANT, PA
15666-3503

Practice Phone: 724-542-4818
Practice Fax: 724-542-4828

1154411197 — DR. SURESH C GUPTA MD
Practice Location Address:

3503 PERRY ST
MOUNT RAINER, MD
20712

Practice Phone: 301-864-1133
Practice Fax: 301-864-2155

1124417241 — OMJRB LLC
Practice Location Address:

2722 W OLD US HIGHWAY 441
MOUNT DORA, FL
32757-3503

Practice Phone: 407-738-0972
Practice Fax: 877-599-6183

1306564927 — MRS. CHANDLER ALLYN HUTCHINS M.S., CCC-SLP
Practice Location Address:

3023 N 1600 EAST RD
MOUNT AUBURN, IL
62547-3503

Practice Phone: 217-299-4898
Practice Fax:

Directions to “ BEATRIZ DE LA ROCHE D.M.D” 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 © 2007-2026 (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.