Provider Demographics
NPI:1508958778
Name:ROTHAN, STEVEN G (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:ROTHAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 HEMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5914
Mailing Address - Country:US
Mailing Address - Phone:513-931-6228
Mailing Address - Fax:513-931-6243
Practice Address - Street 1:944 HEMPSTEAD DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5914
Practice Address - Country:US
Practice Address - Phone:513-931-6228
Practice Address - Fax:513-931-6243
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17410122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist