Michael Rossitch, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012962 Issued in GA

Practice address

3698 Largent Way NW
Suite 201
Marietta, GA 30064-5923

Phone

(770) 420-6565

Fax

(770) 420-6570

NPI assigned

Dec 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821152364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 LARGENT WAY NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645923",
            "telephone_number": "770-420-6565",
            "fax_number": "770-420-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3698 LARGENT WAY NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645923",
            "telephone_number": "770-420-6565",
            "fax_number": "770-420-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSITCH",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DN012962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcella Ross
• Samuel Drinnon Ross, DO
• Yael Ross, MD
• Monique An-Jel Rosser, FNP
• Melissa Rossi
• Roswell Eye Surgery Center, LLC
• Caren Rothstein
• Bruce Rottschafer, PH.D.
• Nason Daniel Rouhizad, D.O.
• George John Rouse, D.C.

• Pediatric Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.