Individual
AMANDA JESSIE ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3333
Mailing address
160 LIBERTY ST APT 4218, COLUMBUS, OH 43215-5835
(240) 750-5933
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
RES.004714
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
018002247
IL
2084N0400X
Neurology Physician
018002247
IL
208600000X
Surgery Physician
018002247
IL
2086S0129X
Vascular Surgery Physician
018002247
IL
Other
Enumeration date
07/06/2023
Last updated
06/28/2024
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