Provider Demographics
NPI:1255586384
Name:ROTHERMEL, CYNTHIA C
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:C
Last Name:ROTHERMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7641 SALTSBURG ROAD - SUITE 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-1755
Mailing Address - Country:US
Mailing Address - Phone:412-795-6880
Mailing Address - Fax:412-795-6889
Practice Address - Street 1:7641 SALTSBURG RD STE 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-7702
Practice Address - Country:US
Practice Address - Phone:412-495-6880
Practice Address - Fax:412-495-6889
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037483122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist