Provider Demographics
NPI:1952301046
Name:DAVID D ROLAND DDS MS
Entity Type:Organization
Organization Name:DAVID D ROLAND DDS MS
Other - Org Name:ENCINITAS ENDODONTIC SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:760-436-4561
Mailing Address - Street 1:760 GARDEN VIEW CT
Mailing Address - Street 2:STE 210
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2473
Mailing Address - Country:US
Mailing Address - Phone:760-436-4561
Mailing Address - Fax:760-436-4571
Practice Address - Street 1:760 GARDEN VIEW CT
Practice Address - Street 2:STE 210
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2473
Practice Address - Country:US
Practice Address - Phone:760-436-4561
Practice Address - Fax:760-436-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA279181223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty