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

Dr. Brandon J Roth, DDS

Individual provider Dentist · NPI 1679733612

Dr. Brandon J Roth, DDS is a Dentist in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
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.

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Practice location Address checks out

3030 N Ballard Rd
Appleton, WI 54911-8707
Phone: (920) 954-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6253-15 (WI)

Record details

NPI number1679733612
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESJanuary 21, 2011
Mailing address3030 N Ballard Rd, Appleton, WI 54911-8707

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