Provider Demographics
NPI:1003984469
Name:ROSENSTIEL, DONALD GUY (DMD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:GUY
Last Name:ROSENSTIEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 DEO DARA DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3391
Mailing Address - Country:US
Mailing Address - Phone:205-979-8655
Mailing Address - Fax:
Practice Address - Street 1:1600 DEO DARA DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3391
Practice Address - Country:US
Practice Address - Phone:205-979-8655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL43251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice