Provider Demographics
NPI:1497033898
Name:VOTH, JESSICA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:ANN
Last Name:VOTH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 43RD ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-5847
Mailing Address - Country:US
Mailing Address - Phone:507-287-8320
Mailing Address - Fax:507-281-8757
Practice Address - Street 1:3000 43RD ST NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-5847
Practice Address - Country:US
Practice Address - Phone:507-287-8320
Practice Address - Fax:507-281-8757
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND130121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice