David Brent Rosen in Lexington - Periodontics

David Brent Rosen - NPI 1205877875

David Brent Rosen is a Periodontics in Lexington, Massachusetts. David Brent Rosen practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David Brent Rosen is 1205877875. The last update date is 2007-07-08.

David Brent Rosen's current location address is 1 Wallis Ct, Lexington, Massachusetts. You can contact this provider via phone number 7818624550 and fax number 7818621846. The mailing address for David Brent Rosen is 1 Wallis Ct, Lexington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name David Brent Rosen
Address 1 Wallis Ct, Lexington, Massachusetts
Phone Number 7818624550
Fax Number 7818621846
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1205877875
Provider Enumeration Date 2006-06-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Wallis Ct
City Lexington
State Massachusetts (MA)
Post Code 24215403
Phone Number 7818624550
Fax Number 7818621846

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 13127
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about David Brent Rosen

What is the unique 10-digit identification code assigned to David Brent Rosen by the Centers for Medicare & Medicaid Services?

The David Brent Rosen has been issued the NPI (National Provider Identifier) 1205877875, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the David Brent Rosen located?

The David Brent Rosen is located at 1 Wallis Ct, Lexington, MA 24215403.

What is David Brent Rosen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David Brent Rosen's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205877875 to David Brent Rosen?

The Centers for Medicare & Medicaid Services assigned the 1205877875 to David Brent Rosen on 2006-06-08.

As of what date were the details related to David Brent Rosen most recently updated or revised?

The information pertaining to David Brent Rosen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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