Provider Demographics
NPI:1427152594
Name:ROSEN, JAMES JOSEPH (DDS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:ROSEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:680 WASHINGTON ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1925
Mailing Address - Country:US
Mailing Address - Phone:412-563-6444
Mailing Address - Fax:412-563-6445
Practice Address - Street 1:680 WASHINGTON ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1925
Practice Address - Country:US
Practice Address - Phone:412-563-6444
Practice Address - Fax:412-563-6445
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021250L122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist