Joseph Orley Rosenberg, DDS
Individual provider Active NPI General Practice Dentistry · Saint John, KS
NPI 1104886563 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104886563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6063 (KS)
- Practice address
- 205 N Santa Fe St
Saint John, KS 67576-2029 - Phone
- (620) 549-3323
- Fax
- (620) 549-3914
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6063 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6063 | KS | Yes |
Addresses
Primary practice location
205 N Santa Fe St
Saint John, KS 67576-2029
Mailing address
205 N Santa Fe St
St John, KS 67576-2014
Phone (620) 549-3323
Other providers in Saint John, KS
- Kenwood Business LLC
- Kenwood Plaza, Inc.
- Leisure Homestead Association
- Midwest Healthcare
- Karen M Norris
- St. John - Hudson Usd 350
- Stafford County Drug
- Stafford County Drug
- Renee Suppes
All providers in Saint John, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.