# JOE ROSENBERG D.D.S., P.A.

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

## Provider details

- **NPI number:** 1912099706
- **Authorized official:** DR. JOE ORLEY ROSENBERG DDS (PRESIDENT)
- **Authorized official phone:** (620) 549-3323

## Contact information

- **Practice address:** 307 E 3RD AVE, SAINT JOHN, KS 67576-2014
- **Practice address phone:** (620) 549-3323
- **Practice address fax:** (620) 549-3914
- **Mailing address:** 307 E 3RD AVE, SAINT JOHN, KS 67576-2014
- **Mailing address phone:** (620) 549-3323
- **Mailing address fax:** (620) 549-3914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6063 | KS | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 08/22/2020
