Provider Demographics
NPI:1023476199
Name:ROSEN, MARGARET AMELIA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:AMELIA
Last Name:ROSEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MAIN ENTRANCE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2142
Mailing Address - Country:US
Mailing Address - Phone:412-953-6829
Mailing Address - Fax:
Practice Address - Street 1:170 MAIN ENTRANCE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2142
Practice Address - Country:US
Practice Address - Phone:412-953-6829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040697122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist