Provider Demographics
NPI:1760551048
Name:ROSCHELLA, KAREN BURKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:BURKE
Last Name:ROSCHELLA
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 1:1940 SYCAMORE SPRING COURT
Mailing Address - Street 2:
Mailing Address - City:COOKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21723
Mailing Address - Country:US
Mailing Address - Phone:410-489-9801
Mailing Address - Fax:
Practice Address - Street 1:ROSCHELLA AND ZINGER DENTAL GROUP
Practice Address - Street 2:2500 WALLINGTON WAY
Practice Address - City:MARRIOTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104
Practice Address - Country:US
Practice Address - Phone:410-442-5678
Practice Address - Fax:410-442-0484
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice