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Contact Information

JAMES M ROADT, DDS
W23657050 BIG BEND DRIVE
BIG BEND, WI53103
 Phone: 262-662-1111
 Fax: 262-622-2111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JAMES M ROADT · (Male)

NPI Number 1073674560
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3754015
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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