Provider Demographics
NPI:1245336700
Name:ROSENBLATT, HUGH BENJAMIN (DMD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:BENJAMIN
Last Name:ROSENBLATT
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 1:901 N CONGRESS AVE
Mailing Address - Street 2:STE D105
Mailing Address - City:BOYNTON BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3319
Mailing Address - Country:US
Mailing Address - Phone:561-737-8559
Mailing Address - Fax:561-732-4453
Practice Address - Street 1:901 N CONGRESS AVE
Practice Address - Street 2:STE D105
Practice Address - City:BOYNTON BCH
Practice Address - State:FL
Practice Address - Zip Code:33426-3319
Practice Address - Country:US
Practice Address - Phone:561-737-8559
Practice Address - Fax:561-732-4453
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14933122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist