Provider Demographics
NPI:1467717595
Name:ROSANIA, AMY (DMD, MSCD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ROSANIA
Suffix:
Gender:F
Credentials:DMD, MSCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 COTTAGE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4108
Mailing Address - Country:US
Mailing Address - Phone:603-294-0110
Mailing Address - Fax:
Practice Address - Street 1:185 COTTAGE ST STE 2
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4108
Practice Address - Country:US
Practice Address - Phone:603-294-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-04
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH041081223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics