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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ROBERT L ROUGHLEY, DDS
2931 N TENAYA WAY
SUITTE 206
LAS VEGAS, NV89128-0456
 Phone: 702-240-6370
 Fax: 702-240-6373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ROBERT L ROUGHLEY · (Male)

NPI # 1003036617
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/26/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 849
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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