Provider Demographics
NPI:1043774979
Name:JOHN A ROTHCHILD DDS PC
Entity Type:Organization
Organization Name:JOHN A ROTHCHILD DDS PC
Other - Org Name:SLEEP SOLUTIONS DURANGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ROTHCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-382-7780
Mailing Address - Street 1:175 MERCADO ST STE 115
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7318
Mailing Address - Country:US
Mailing Address - Phone:970-382-7780
Mailing Address - Fax:970-375-9143
Practice Address - Street 1:175 MERCADO ST STE 115
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7318
Practice Address - Country:US
Practice Address - Phone:970-382-7780
Practice Address - Fax:970-375-9143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental