Provider Demographics
NPI:1518504133
Name:JAMES J ROSEN DDS
Entity Type:Organization
Organization Name:JAMES J ROSEN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-956-2150
Mailing Address - Street 1:680 WASHINGTON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1950
Mailing Address - Country:US
Mailing Address - Phone:412-563-6444
Mailing Address - Fax:412-563-6445
Practice Address - Street 1:680 WASHINGTON RD STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1950
Practice Address - Country:US
Practice Address - Phone:412-563-6444
Practice Address - Fax:412-563-6445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty