Alexa B. Ellingsen Roehrig, DDS
General Dentistry · De Witt, NY
UnclaimedDDSNPI 1962992834
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2018-05-15
- Practice location
- De Witt, NY
- Last NPPES update
- 2019-09-05
State licenses
- NY · Dentist · NPPES self-reportedListed on NPI record
- WA · Dentist · Dentist Resident Community LicenseInactivethrough 2019
- WA · Dentist · Dentist LicenseActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.