Provider Demographics
NPI:1962716464
Name:ROSENSTEIN AND GARTNER DENTISTRY, PLLC
Entity type:Organization
Organization Name:ROSENSTEIN AND GARTNER DENTISTRY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-933-9911
Mailing Address - Street 1:20803 BISCAYNE BLVD STE 306
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1435
Mailing Address - Country:US
Mailing Address - Phone:305-933-9911
Mailing Address - Fax:305-933-8068
Practice Address - Street 1:20803 BISCAYNE BLVD STE 306
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1435
Practice Address - Country:US
Practice Address - Phone:305-933-9911
Practice Address - Fax:305-933-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL61351223G0001X
FL139881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty