Provider Demographics
NPI:1245558089
Name:CARLA H ROHER, D.M.D, P.C.
Entity Type:Organization
Organization Name:CARLA H ROHER, D.M.D, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:912-355-0605
Mailing Address - Street 1:28 MEDICAL ARTS CTR
Mailing Address - Street 2:836 EAST 36TH STREET
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4415
Mailing Address - Country:US
Mailing Address - Phone:912-335-0605
Mailing Address - Fax:912-355-0659
Practice Address - Street 1:28 MEDICAL ARTS CTR
Practice Address - Street 2:836 EAST 65TH STREET
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4415
Practice Address - Country:US
Practice Address - Phone:912-355-0605
Practice Address - Fax:912-355-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013354122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty