Provider Demographics
NPI:1811381544
Name:AMY E. ROSANIA, DMD, MSCD, PC
Entity Type:Organization
Organization Name:AMY E. ROSANIA, DMD, MSCD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSANIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-767-0158
Mailing Address - Street 1:875 GREENALND ROAD
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:875 GREENALND ROAD
Practice Address - Street 2:SUITE B-7
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-294-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty