Provider Demographics
NPI:1003960774
Name:ROSENFELD, KIMBERLY ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:412 PLEASANT VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07405
Mailing Address - Country:US
Mailing Address - Phone:973-731-2468
Mailing Address - Fax:973-731-2501
Practice Address - Street 1:127 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5118
Practice Address - Country:US
Practice Address - Phone:845-843-6901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0494161223P0221X
NJ22DI021298011223P0221X
NJ22DI021298001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry