Individual
STEVEN ROSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5883
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5883
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53941
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108342
UNITED HEALTHCARE
GA
01
—
3408185
US HEALTHCARE
GA
01
—
841546
BCBS
GA
01
—
P00184043
RAILROAD MEDICARE
GA
01
—
Y 20040301
PHCS
GA
Enumeration date
07/27/2006
Last updated
07/08/2007
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