# JEFFREY ROSENBERG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Healthcare Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700204112
- **Authorized official:** MRS. MICHELLE SANTIAGO (OFFICE MANAGER)
- **Authorized official phone:** (215) 592-4747

## Contact information

- **Practice address:** 413 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1537
- **Practice address phone:** (215) 592-4747
- **Practice address fax:** (215) 592-8230
- **Mailing address:** 413 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1537
- **Mailing address phone:** (215) 592-4747
- **Mailing address fax:** (215) 592-8230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS022998L | PA | Yes |

## Other

- **Enumeration date:** 04/02/2014
- **Last updated:** 04/02/2014