Marc S Rosenthal, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2002017020 Issued in MO

Practice address

1701 Four Mile Dr
Williamsport, PA 17701-1940

Phone

(520) 323-1900

Fax

(520) 323-6079

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 17, 2019 through Sep 17, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Keystone Omfs PC

  dba Susquehanna Oral & Facial Surgery & Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsport, PA
  • NPI 1275905929
  Authorized official Same address or phone
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1699852137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FOUR MILE DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011940",
            "telephone_number": "570-323-1900",
            "fax_number": "570-323-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FOUR MILE DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011940",
            "telephone_number": "520-323-1900",
            "fax_number": "520-323-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "MARC",
        "middle_name": "S",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2002017020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose View Manor, Inc. (Rose View Center)
• Rose View Manor, Inc. (Rose View Court)
• Harry Rose
• Scott Campbell Rosenbaum, PA-C
• Clark Rosenberry, M.D.
• Hannah Ross
• Erin Danae Rothrock, MSW, LSW
• Laurene Roup
• Emily Rowlands, DO
• Brook Rozenberg, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.