TIMOTHY ROETTGER
NPI 1861876062
Dentist in Mckinleyville, CA

Active since July 17, 2015
1955 CENTRAL AVE, MCKINLEYVILLE, CA 95519(707) 839-1100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 8, 2017 (3 updates tracked since 2017).

About Timothy Roettger NPPES

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

TIMOTHY ROETTGER (NPI 1861876062) is an individual dentist in Mckinleyville, California, licensed in California (DDS100239) and active in the NPI registry since July 2015. He maintains a secondary practice location in Carlsbad.

NPPES Registry Identity

NPI1861876062
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTIMOTHY ROETTGER
Location Address1955 CENTRAL AVEMckinleyville, CA 95519-3605
Mailing Address1955 Central AveMckinleyville, CA 95519-3605 · (707) 839-1100
Sole ProprietorNo
Enumeration DateJuly 17, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1861876062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · DDS100239
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD4352 (NM)
1955 CENTRAL AVE, Mckinleyville, CA 95519

Secondary Practice Location 1

Location 1618 W Pierce SteetCarlsbad, NM 88220 · Phone (575) 885-3948

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1955 CENTRAL AVE
MCKINLEYVILLE, CA 95519
Clinic/Center (Dental)
1955 CENTRAL AVE
MCKINLEYVILLE, CA 95519

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 Timothy Roettger's NPI number?

The NPI number for Timothy Roettger is 1861876062. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Timothy Roettger located?

Timothy Roettger practices at 1955 Central Ave, Mckinleyville, CA 95519. The listed phone number is (707) 839-1100.

What is Timothy Roettger's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Timothy Roettger was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.