Stephen Slater Rozen, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

003716 Issued in CT

Practice address

546 S. Broad St.
Suite 2a
Meriden, CT 06450

Phone

(203) 639-0800

Fax

(203) 639-0324

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral & Maxillofacial Surgeons of Central CT PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Meriden, CT
  • NPI 1972798338
  NPD (past) Authorized official
• Connecticut Oral & Maxillofacial Surgery Centers, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Meriden, CT
  • NPI 1083818710
  NPD (past)
• Connecticut Oral & Maxillofacial Surgery Centers, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Meriden, CT
  • NPI 1770406035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1013947936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 S. BROAD ST.",
            "address_2": "SUITE 2A",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-639-0800",
            "fax_number": "203-639-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S. BROAD ST.",
            "address_2": "SUITE 2A",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-639-0800",
            "fax_number": "203-639-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEN",
        "first_name": "STEPHEN",
        "middle_name": "SLATER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CT",
            "license": "3716",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "003716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Krystal Rolle
• Sharon Beryl Rookwood, APRN
• Shalyn Rose, LCSW
• Logan Kyle Rosenberg, MD
• Sallie Ann Roth, LPC
• Rebecca Rubin, MD
• Richard Vincent Ruey, C.R.N.A.
• Brianna Ruggiero
• Wendy C Ruiz, LCSW
• Danielle Nicole Ruscak, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Meriden, CT
• Providers in Meriden, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.