Provider Demographics
NPI:1184846867
Name:BAGHDASSARIAN, ROSEMARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:
Last Name:BAGHDASSARIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5923 W FRIENDLY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-3207
Mailing Address - Country:US
Mailing Address - Phone:336-632-0744
Mailing Address - Fax:336-632-0754
Practice Address - Street 1:5923 W FRIENDLY AVE STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-3207
Practice Address - Country:US
Practice Address - Phone:336-632-0744
Practice Address - Fax:336-632-0754
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14712122300000X
NC126081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist