Organization
ROBERT M. ROSENBERG, D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M ROSENBERG ORTHODONTIST (OWNER/DOCTOR)
(207) 594-2124
Entity
Organization
Contact information
Practice address
232 BROADWAY, ROCKLAND, ME 04841-2610
(207) 594-2124
(207) 594-2125
Mailing address
PO BOX 887, 232 BROADWAY, ROCKLAND, ME 04841-0887
(207) 594-2124
(207) 594-2124
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2291
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107630000
MAINECARE PROVIDER NUMBER
ME
01
—
1649343849
INDIVIDUAL NPI NUMBER
ME
Enumeration date
06/05/2009
Last updated
06/05/2009
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