person
Michael Rosenbaum, DMD
Pediatric Dentist in Philadelphia, Pennsylvania
NPI 1104810530

Michael Rosenbaum is a Pediatric Dentist based in Philadelphia, PA and is specialized in Pediatric Dentistry. Michael Rosenbaum practices in Philadelphia, PA and has the professional credentials of DMD. The NPI Number for Michael Rosenbaum is 1104810530 and holds a License No. DS025205L (Pennsylvania).

The current practice location address for Michael Rosenbaum is 6404 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-743-3700 and via fax at 215-743-3706.

Location: 6404 Roosevelt Blvd, Philadelphia, PA, 19149-2943
person
Provider Profile Details
NPI Number
1104810530
Provider Name
Michael Rosenbaum
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
6404 Roosevelt Blvd, Philadelphia, PA, 19149-2943
Phone Number
215-743-3700
Fax Number
215-743-3706
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001148784 05 PA
institution
Provider Business Practice Location Address Details
Address
6404 Roosevelt Blvd
City
State
Zip
19149-2943
Phone Number
215-743-3700
Fax Number
215-743-3706
person
Provider Business Mailing Address Details
Address
6404 Roosevelt Blvd
City
State
Zip
19149-2943
Phone Number
215-743-3700
Fax Number
215-743-3706
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DS025205L (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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