Doctor profile · Federal record

Dr. Kelly Roth, D.D.S.

General Practice Dentistry · North Canton, OH

  • NPI 1104837111
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1515 Portage St Nw, Suite I
North Canton, OH 447202290
(330) 494-0646
fax (330) 494-9181
Mailing address
7077 Pebblestone Ave Nw
North Canton, OH 447206679

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Ohio #20709

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104837111. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$379
Transactions
6
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Premier Dental Products Company 1 $186.10
Patterson Companies, INC. 2 $144.83
Dentsply Sirona INC 1 $24.04
Galderma Laboratories, L.P. 1 $21.31
Ultradent Products INC 1 $2.50

By nature of payment

Food and Beverage
$193
Gift
$186

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
50
Patients
44
Total drug cost
$275
Drug Type Claims Patients Total cost
Penicillin V Potassium Generic 35 29 $224
Azithromycin Generic 15 15 $51

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelly Roth's medical specialty?
Dr. Kelly Roth practices General Practice Dentistry in North Canton, OH.
Where does Dr. Kelly Roth practice?
Dr. Kelly Roth practices at 1515 Portage St Nw, North Canton, OH 447202290. Office phone: 3304940646.
What is Dr. Kelly Roth's NPI?
Dr. Kelly Roth's National Provider Identifier (NPI) is 1104837111, issued by NPPES.