Dr. Jeffrey M. Rosen, DMD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS020244L Issued in PA

Legal business name

DR. JEFFREY M. ROSEN, DMD, PC

Practice address

16 N 13TH St
Allentown, PA 18102-4309

Phone

(610) 434-4077

Fax

(610) 434-3002

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Rosen, DMD

Title

Owner

Phone

(610) 434-4077

Specialties & licenses 1

Addresses

Tax ID family

Contemporary Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Contemporary Dentistry

  • Dental Clinic/Center
  • Allentown, PA
  • NPI 1598197881
  NPD tax ID

Locations

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1356627186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N 13TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024309",
            "telephone_number": "610-434-4077",
            "fax_number": "610-434-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N 13TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024309",
            "telephone_number": "610-434-4077",
            "fax_number": "610-434-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEFFREY M. ROSEN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-434-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS020244L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Allentown, PA
• Providers in Allentown, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.