Provider Demographics
NPI:1518102375
Name:MICHAEL AND DAVID ROTHAN DDS INC
Entity Type:Organization
Organization Name:MICHAEL AND DAVID ROTHAN DDS INC
Other - Org Name:TWIN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-825-6111
Mailing Address - Street 1:11430 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-6104
Mailing Address - Country:US
Mailing Address - Phone:513-825-6111
Mailing Address - Fax:513-825-5947
Practice Address - Street 1:11430 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-6104
Practice Address - Country:US
Practice Address - Phone:513-825-6111
Practice Address - Fax:513-825-5947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18277261QD0000X
OH18278261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental