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

Nicole Roth

Individual provider Dental Hygienist · NPI 1225323256

Nicole Roth is a Dental Hygienist in Moberly, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2011
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Practice location Address checks out

423 E Logan St
Moberly, MO 65270-2222
Phone: (660) 263-6643
Fax: (660) 263-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 2007015370 (MO)

Record details

NPI number1225323256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2011
Last updated in NPPESJune 17, 2011
Mailing address423 E Logan St, Moberly, MO 65270-0488

Other providers in Moberly