| Benjamin D Rosenberg Dds Inc | |
|
2602 S Picher Ave Joplin MO 64804-1641 | |
| (417) 781-2220 | |
| (417) 781-1308 |
| Full Name | Benjamin D Rosenberg Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2602 S Picher Ave, Joplin, Missouri |
| Authorized Official Name and Position | Shelli G Crane (OFFICE MANAGER) |
| Authorized Official Contact | 4177812220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin D Rosenberg Dds Inc Po Box 2788 Joplin MO 64803-2788 Ph: (417) 781-2220 | Benjamin D Rosenberg Dds Inc 2602 S Picher Ave Joplin MO 64804-1641 Ph: (417) 781-2220 |
| NPI Number | 1871984609 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871984609 | NPI | - | NPPES |
| 1932186905 | Other | INDDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10670 (Missouri) | Primary |
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