Provider Demographics
NPI:1417920372
Name:ROHLAND PATT ROHLAND ASSOCIATES
Entity Type:Organization
Organization Name:ROHLAND PATT ROHLAND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROHLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-785-3410
Mailing Address - Street 1:119 THORNTON RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-9607
Mailing Address - Country:US
Mailing Address - Phone:724-785-3410
Mailing Address - Fax:724-785-3892
Practice Address - Street 1:119 THORNTON RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9607
Practice Address - Country:US
Practice Address - Phone:724-785-3410
Practice Address - Fax:724-785-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00016817950001Medicare ID - Type UnspecifiedPATT/MEDICARE
PA0008998110001Medicare ID - Type UnspecifiedROHLAND/MEDICARE
PA0008997870001Medicare ID - Type UnspecifiedMEDICAL ASSISTANCE
PA013028Medicare UPIN
PA014068Medicare UPIN