Provider Demographics
NPI:1831304294
Name:LAURIE A. ROSATO, DMD
Entity Type:Organization
Organization Name:LAURIE A. ROSATO, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSATO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-228-9276
Mailing Address - Street 1:6 LOUDON RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5321
Mailing Address - Country:US
Mailing Address - Phone:603-228-9276
Mailing Address - Fax:603-228-7305
Practice Address - Street 1:6 LOUDON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5321
Practice Address - Country:US
Practice Address - Phone:603-228-9276
Practice Address - Fax:603-228-7305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH32111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH110-3211OtherLICENSE #