Provider Demographics
NPI:1649708066
Name:ROSEN, JAMES JOSEPH JR (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:ROSEN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:680 WASHINGTON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1950
Mailing Address - Country:US
Mailing Address - Phone:412-563-6444
Mailing Address - Fax:412-563-6445
Practice Address - Street 1:680 WASHINGTON RD STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1950
Practice Address - Country:US
Practice Address - Phone:412-563-6444
Practice Address - Fax:412-563-6445
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS0424041223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry