DR. JOHN DAVID ROUSH DDS
NPI 1790798148
Dentist - General Practice in Holland, MI

Active since August 15, 2006
540 MICHIGAN AVENUE, HOLLAND, MI 49423(616) 396-7490(616) 396-3766 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John David Roush Dds NPPES

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

DR. JOHN DAVID ROUSH DDS (NPI 1790798148) is an individual general practice provider in Holland, Michigan, licensed in Michigan (9675) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1790798148
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN DAVID ROUSHCredential: DDS
Location Address540 MICHIGAN AVENUEHolland, MI 49423
Mailing Address540 Michigan AvenueHolland, MI 49423 · (616) 396-7490 · Fax (616) 396-3766
Fax(616) 396-3766
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1790798148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 9675
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
540 MICHIGAN AVENUE, Holland, MI 49423

Other Identifiers 1

Medicaid4005720MI

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 John Roush's NPI number?

The NPI number for John Roush is 1790798148. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is John Roush located?

John Roush practices at 540 Michigan Avenue, Holland, MI 49423. The listed phone number is (616) 396-7490.

What is John Roush's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Roush was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.