Provider Demographics
NPI:1659900496
Name:ROSENAU, ALEXA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:
Last Name:ROSENAU
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 1:3272 SALT CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-4759
Mailing Address - Country:US
Mailing Address - Phone:402-476-1500
Mailing Address - Fax:402-476-1510
Practice Address - Street 1:3272 SALT CREEK CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-4759
Practice Address - Country:US
Practice Address - Phone:402-476-1500
Practice Address - Fax:402-476-1510
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE78481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE7848OtherLICENSE