Jack J Rosenberg in Burke - Orthodontics And Dentofacial Orthopedics
Jack J Rosenberg - NPI 1639362148
Jack J Rosenberg is a Orthodontics And Dentofacial Orthopedics in Burke, Virginia. Jack J Rosenberg practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jack J Rosenberg is 1639362148. The last update date is 2007-08-20.
Jack J Rosenberg's current location address is 6045 Burke Centre Pkwy, Burke, Virginia. You can contact this provider via phone number 7032502208 and fax number 7032505337. The mailing address for Jack J Rosenberg is 6045 Burke Centre Pkwy, Burke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack J Rosenberg |
|---|---|
| Address | 6045 Burke Centre Pkwy, Burke, Virginia |
| Phone Number | 7032502208 |
| Fax Number | 7032505337 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639362148 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 6045 Burke Centre Pkwy |
|---|---|
| City | Burke |
| State | Virginia (VA) |
| Post Code | 220153751 |
| Phone Number | 7032502208 |
| Fax Number | 7032505337 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3534 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Jack J Rosenberg by the Centers for Medicare & Medicaid Services?
The Jack J Rosenberg has been issued the NPI (National Provider Identifier) 1639362148. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jack J Rosenberg?
The Jack J Rosenberg is situated at 6045 Burke Centre Pkwy, in the city of Burke, state of VA, with the zip code 220153751.
What is Jack J Rosenberg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack J Rosenberg's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639362148 to Jack J Rosenberg?
The Centers for Medicare & Medicaid Services originally issued the 1639362148 to Jack J Rosenberg on 2007-08-20.
When was the information regarding Jack J Rosenberg most recently updated?
The details pertaining to the Jack J Rosenberg, including its address, specialty, and other relevant information, were last refreshed on 2007-08-20.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI