Provider Demographics
NPI:1972540813
Name:ROTHE, LAURA ELIZABETH (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ELIZABETH
Last Name:ROTHE
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Gender:F
Credentials:DDS, MSD
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Mailing Address - Street 1:2929 N 204TH ST
Mailing Address - Street 2:#109
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022
Mailing Address - Country:US
Mailing Address - Phone:402-289-3232
Mailing Address - Fax:402-289-4313
Practice Address - Street 1:2929 N 204TH ST
Practice Address - Street 2:#109
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022
Practice Address - Country:US
Practice Address - Phone:402-289-3232
Practice Address - Fax:402-289-4313
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2008-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE65281223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics