Provider Demographics
NPI:1578696258
Name:ROSEVEAR, JOHN A (DDS PC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:ROSEVEAR
Suffix:
Gender:M
Credentials:DDS PC
Other - Prefix:
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Mailing Address - Street 1:2833 LINCOLN STREET
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1924
Mailing Address - Country:US
Mailing Address - Phone:219-838-6888
Mailing Address - Fax:219-838-6901
Practice Address - Street 1:18333 BURNHAM AVENUE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3034
Practice Address - Country:US
Practice Address - Phone:708-474-5100
Practice Address - Fax:708-474-7930
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2008-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL19A154591223X0400X
IN70611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics