Active NPIIndividual providerSole proprietor

Haniel C Rosemond, DDS, FAGD

Dentist, General Practice in South Orange, New Jersey

NPI Number1205040755
Practice location
481 S Orange Ave, South Orange, NJ 07079-2642
Fax
973-762-5473
Last updated
November 10, 2021

Haniel Chyler Rosemond is a Dentist, General Practice based in South Orange, NJ. Haniel Chyler Rosemond practices in South Orange, NJ and has the professional credentials of DDS, FAGD. The NPI Number for Haniel Chyler Rosemond is 1205040755 and holds a License No. 16564 (NJ). The current practice location address for Haniel Chyler Rosemond is 481 S Orange Ave, South Orange, NJ 07079-2642 and can be reached out via phone at 973-762-2660 and via fax at 973-762-5473.

Provider Profile Details

NPI Number
1205040755
Provider Name
Haniel Chyler Rosemond
Credential
DDS, FAGD
Provider Entity Type
Individual
Gender
Male
Address
481 S Orange Ave, South Orange, NJ 07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2007
Last Update Date
November 10, 2021
Certification Date
November 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
481 S Orange Ave
South Orange, NJ 07079-2642
Zip
07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
481 S Orange Ave
South Orange, NJ 07079-2642
City
South Orange
State
NJ
Zip
07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473

License Information

License Number
16564
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Haniel C Rosemond, DDS, FAGD?

The NPI number of Haniel C Rosemond, DDS, FAGD is 1205040755. It was assigned on May 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Haniel C Rosemond, DDS, FAGD?

Haniel C Rosemond, DDS, FAGD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 16564.

Where does Haniel C Rosemond, DDS, FAGD practice?

The practice location is 481 S Orange Ave, South Orange, NJ 07079-2642. The office can be reached at 973-762-2660 (phone) or 973-762-5473 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205040755 directly on the NPPES registry website.

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