David M. Rolsten, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30016789 Issued in OH

Legal business name

DAVID M. ROLSTEN, DDS, INC

Practice address

102 Auburn Ave
Shelby, OH 44875-1104

Phone

(419) 342-3891

Fax

(419) 342-3897

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jean Ann Flor

Title

Office Manager

Phone

(419) 342-3891

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Matthew Rolsten, DDS

  • General Practice Dentistry
  • Shelby, OH
  • NPI 1528135969
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1326212937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 AUBURN AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751104",
            "telephone_number": "419-342-3891",
            "fax_number": "419-342-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 AUBURN AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751104",
            "telephone_number": "419-342-3891",
            "fax_number": "419-342-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. ROLSTEN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "FLOR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-342-3891",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30016789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1528135969",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Ronald Creighton, PA-C
• Shelly Ranae Crider, P.T.A.
• Samantha Crosby
• Shane Cullen
• Sabrina Cumston
• Donna Jean Davies, LPN
• Dawn Davis
• Kristofer Isaac Davis
• Michelle Day, CPHT
• Jennifer Lynn Dean, LPN

• General Practice Dentistry in Shelby, OH
• Providers in Shelby, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.