Provider Demographics
NPI:1518212083
Name:ROHMAN, MEGAN R (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:R
Last Name:ROHMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:DANFORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2624 GRAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4676
Mailing Address - Country:US
Mailing Address - Phone:319-335-7440
Mailing Address - Fax:
Practice Address - Street 1:2624 GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601
Practice Address - Country:US
Practice Address - Phone:970-928-7467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA30456390200000X
CO201816122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program