Provider Demographics
NPI:1407333727
Name:ROSLER, NATASHA SHEILA (DMD)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:SHEILA
Last Name:ROSLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-1724
Mailing Address - Country:US
Mailing Address - Phone:570-394-9680
Mailing Address - Fax:
Practice Address - Street 1:111 S WATER ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17098
Practice Address - Country:US
Practice Address - Phone:717-647-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041858122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist