Provider Demographics
NPI:1942385521
Name:ROSSLER, DONALD P (DMD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:P
Last Name:ROSSLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LIBERTY DR STE 2
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248-1553
Mailing Address - Country:US
Mailing Address - Phone:860-228-2565
Mailing Address - Fax:860-228-2567
Practice Address - Street 1:7 LIBERTY DR STE 2
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:CT
Practice Address - Zip Code:06248-1553
Practice Address - Country:US
Practice Address - Phone:860-228-2565
Practice Address - Fax:860-228-2567
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT63931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice