Provider Demographics
NPI:1366491003
Name:ROSENZWEIG, DENNIS D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:D
Last Name:ROSENZWEIG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 E 12 MILE RD
Mailing Address - Street 2:SUITE B 15
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-2602
Mailing Address - Country:US
Mailing Address - Phone:248-399-7094
Mailing Address - Fax:248-399-8565
Practice Address - Street 1:1385 E 12 MILE RD
Practice Address - Street 2:SUITE B 15
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2602
Practice Address - Country:US
Practice Address - Phone:248-399-7094
Practice Address - Fax:248-399-8565
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI111181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice