Provider Demographics
NPI:1366890733
Name:ESGUERRA, ROXANNA JEAN (DDS, MS)
Entity type:Individual
Prefix:
First Name:ROXANNA
Middle Name:JEAN
Last Name:ESGUERRA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W SUPERIOR ST STE 1212
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1712
Mailing Address - Country:US
Mailing Address - Phone:218-722-8118
Mailing Address - Fax:303-427-4009
Practice Address - Street 1:324 W SUPERIOR ST STE 1212
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1712
Practice Address - Country:US
Practice Address - Phone:218-722-8118
Practice Address - Fax:303-427-4009
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002019421223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics