Provider Demographics
NPI:1932225422
Name:ROHER, CARLA H (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:H
Last Name:ROHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 E 65TH ST
Mailing Address - Street 2:28 MEDICAL ARTS CENTER
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4434
Mailing Address - Country:US
Mailing Address - Phone:912-335-0605
Mailing Address - Fax:912-355-0659
Practice Address - Street 1:836 E 65TH ST
Practice Address - Street 2:28 MEDICAL ARTS CENTER
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4434
Practice Address - Country:US
Practice Address - Phone:912-335-0605
Practice Address - Fax:912-355-0659
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA133541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice