Provider Demographics
NPI:1588139026
Name:ROSEMAN UNIVERSITY OF HEALTH SCIENCES, A NEVADA NON-PROFIT CORP
Entity type:Organization
Organization Name:ROSEMAN UNIVERSITY OF HEALTH SCIENCES, A NEVADA NON-PROFIT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:LICARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-878-1400
Mailing Address - Street 1:11 SUNSET WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2333
Mailing Address - Country:US
Mailing Address - Phone:702-990-4433
Mailing Address - Fax:702-968-5577
Practice Address - Street 1:4 SUNSET WAY STE B
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2015
Practice Address - Country:US
Practice Address - Phone:702-990-4433
Practice Address - Fax:702-968-5577
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSEMAN UNIVERSITY OF HEALTH SCIENCES, A NEVADA NON-PROFIT CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-11
Last Update Date:2021-05-18
Deactivation Date:2021-02-12
Deactivation Code:
Reactivation Date:2021-05-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty