Roach, Angie
Roach, Angie is an individual health care provider with primary practice located at 27991 Buena Vista Blvd , Los Fresnos TX 78566-4261. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Roach, Angie can be contacted via phone (956) 504-7275.Contact Information
Primary practice address
27991 Buena Vista Blvd
Los Fresnos TX 78566-4261
Phone: (956) 504-7275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 3260 | Arkansas |
Profile Details
| NPI number | 1447452818 |
|---|---|
| LBN Legal business name | Roach, Angie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jun 24th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447452818 | NPPES |
| Oklahoma | MEDICAID | 4303260 |
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