# AMANDA JESSIE ROSENFELD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831877232
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | RES.004714 | OH | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 018002247 | IL | — |
| 2084N0400X | Neurology Physician | 018002247 | IL | — |
| 208600000X | Surgery Physician | 018002247 | IL | — |
| 2086S0129X | Vascular Surgery Physician | 018002247 | IL | — |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 06/28/2024