Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alexa Brady Ellingsen Roehrig, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962992834

Dr. Alexa Brady Ellingsen Roehrig, DDS is a Student in an Organized Health Care Education/Training Program in De Witt, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

De Witt, NY

Additional practice locations (2)

  • 8057 Brewerton Rd, Cicero, NY 13039-9585 — (315) 698-0040
  • 4001 N Cook St, Spokane, WA 99207-5879 — (509) 326-4343

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 060673-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962992834
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 15, 2018
Last updated in NPPESSeptember 5, 2019

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