Individual
MR. MARK S ROSEBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2376 MAIN ST STE 812, BILLINGS, MT 59105-4018
(406) 656-5200
(406) 651-0958
Mailing address
2376 MAIN ST STE 812, BILLINGS, MT 59105-4018
(406) 656-5200
(406) 651-0958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2009
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112421
—
MT
01
—
20094
BLUE CROSS BLUE SHIELD
MT
01
—
5511468
BLUE CHIP AFFILIATED COMP
MT
Enumeration date
10/04/2006
Last updated
03/13/2013
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