# LOCUST DENTAL GROUP JEFFREY S ROSENTHAL DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841772035
- **Authorized official:** AMY J SHREVES (CREDENTIALING MANAGER)
- **Authorized official phone:** (440) 352-5700

## Contact information

- **Practice address:** 300 LOCUST ST STE 430, AKRON, OH 44302-1804
- **Practice address phone:** (330) 535-7876
- **Mailing address:** 300 LOCUST ST STE 430, AKRON, OH 44302-1804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2018
- **Last updated:** 09/04/2018