Organization
MARK S ROSEBUSH DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S ROSEBUSH DMD (OWNER)
(978) 597-8909
Entity
Organization
Contact information
Practice address
162 MAIN STREET, TOWNSEND, MA 01469
(978) 597-8909
(978) 597-8909
Mailing address
BOX 529, TOWNSEND, MA 01469
(978) 597-8909
(978) 597-8909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13888
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X04268
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
08/22/2020
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