Provider Demographics
NPI:1467837781
Name:ROSINSKY, AMY S (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:S
Last Name:ROSINSKY
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 1:15435 GLENEAGLE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2542
Mailing Address - Country:US
Mailing Address - Phone:719-481-6788
Mailing Address - Fax:
Practice Address - Street 1:15435 GLENEAGLE DR STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2542
Practice Address - Country:US
Practice Address - Phone:719-481-6788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00202603122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist