Provider Demographics
NPI:1558122853
Name:ROHRBACH FAMILY DENTAL LLC
Entity Type:Organization
Organization Name:ROHRBACH FAMILY DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-323-6086
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-0575
Mailing Address - Country:US
Mailing Address - Phone:610-323-6086
Mailing Address - Fax:610-323-6096
Practice Address - Street 1:562 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5635
Practice Address - Country:US
Practice Address - Phone:610-323-6086
Practice Address - Fax:610-323-6096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty