Individual
DR. RONALD L ROSSETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 N CAMP AVE, NEW ALBANY, MS 38652
(662) 534-5826
(662) 534-7218
Mailing address
110 N CAMP AVE, NEW ALBANY, MS 38652
(662) 534-5826
(662) 534-7218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
199282
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064973
—
MS
05
—
00064974
—
MS
Enumeration date
05/11/2007
Last updated
06/21/2012
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