# MARK H ROSENBERG

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bluff Creek Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972922151
- **Authorized official:** DR. MARK H ROSENBERG (OWNER)
- **Authorized official phone:** (317) 422-4944

## Contact information

- **Practice address:** 9351 STATE ROAD 144, MARTINSVILLE, IN 46151-5848
- **Practice address phone:** (317) 422-4944
- **Practice address fax:** (317) 422-4945
- **Mailing address:** 9351 STATE ROAD 144, MARTINSVILLE, IN 46151-5848
- **Mailing address phone:** (317) 422-4944
- **Mailing address fax:** (317) 422-4945

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/21/2014