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

Larry Roth

Individual provider Dentist · NPI 1003211780

Larry Roth is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
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Practice location Address checks out

1637 W Wabansia Ave
Chicago, IL 60622-1443
Phone: (773) 486-1286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.016425 (IL)

Record details

NPI number1003211780
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 24, 2014
Last updated in NPPESOctober 24, 2014
Mailing address1637 W Wabansia Ave, Chicago, IL 60622-1443

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