1. Home
  2. Directory
  3. South Dakota
  4. Rapid City
  5. Clinic Center
  6. NPI Profile

MARY K. ROTH D.D.S. PC
NPI 1699976902
Clinic/Center - Dental in Rapid City, SD

Active since May 31, 2007
807 SAINT ANDREW ST, RAPID CITY, SD 57701(605) 343-9352(605) 343-3115 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary K. Roth D.d.s. Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY K. ROTH D.D.S. PC (NPI 1699976902) is a healthcare organization registered as a dental in Rapid City, South Dakota and active in the NPI registry since May 2007. The organization lists Mary Kay Roth, Docter, as its authorized official.

NPPES Registry Identity

NPI1699976902
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARY K. ROTH D.D.S. PC
Location Address807 SAINT ANDREW STRapid City, SD 57701-4526
Mailing Address807 Saint Andrew StRapid City, SD 57701-4526 · (605) 343-9352 · Fax (605) 343-3115
Phone(605) 343-9352
Fax(605) 343-3115
Organization SubpartNo
Authorized OfficialMary Kay RothDocter · (605) 343-9352
Enumeration DateMay 31, 2007
Last NPPES UpdateJune 10, 2008
✔ NPI 1699976902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SD · M697
807 SAINT ANDREW ST, Rapid City, SD 57701
Open in Google Maps ↗

Other Identifiers 2

Medicaid7805870SD
OtherBR1122302SD · Other

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROTH HAAVE LLC
Dentist (General Practice)
807 SAINT ANDREW ST
RAPID CITY, SD 57701
Meade County (605) 343-9352
DR. KATE SUZANNE HAAVE DDS
Dentist
807 SAINT ANDREW ST
RAPID CITY, SD 57701
Meade County (605) 343-9352
CORBY KATHARINA GOETZINGER
Dentist (General Practice)
807 SAINT ANDREW ST
RAPID CITY, SD 57701
Meade County (605) 343-9352
KATE HAAVE, DDS, PC
Dentist (General Practice)
807 SAINT ANDREW ST
RAPID CITY, SD 57701
Meade County (605) 343-9352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary K. Roth D.D.S. PC's NPI number?

The NPI number for Mary K. Roth D.D.S. PC is 1699976902. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Mary K. Roth D.D.S. PC located?

Mary K. Roth D.D.S. PC is located at 807 Saint Andrew St, Rapid City, SD 57701. The listed phone number is (605) 343-9352.

What is Mary K. Roth D.D.S. PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mary K. Roth D.D.S. PC was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.