# ROSENBERG DENTISTRY: JOE ROSENBERG DDS. PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOE O ROSENBERG DDS, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144852302
- **Legal business name:** JOE O ROSENBERG DDS, P.A.
- **Authorized official:** JOSEPH O ROSENBERG DDS (OWNER/DENTIST)
- **Authorized official phone:** (620) 792-4205

## Contact information

- **Practice address:** 1037 SHERIDAN SUITE D, GREAT BEND, KS 67530
- **Practice address phone:** (620) 792-4205
- **Practice address fax:** (620) 603-6300
- **Mailing address:** 1037 SHERIDAN SUITE D, GREAT BEND, KS 67530
- **Mailing address phone:** (620) 792-4205
- **Mailing address fax:** (620) 603-6300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 02/06/2020