Fawn Rosenberg Dmd Fagd

LBN: Fawn Rosenberg Dmd Fagd Pc
Fawn Rosenberg Dmd Fagd is an health care organization with primary practice located at 922 Waltham Street Suite 202, Lexington MA 02421. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Fawn Rosenberg Dmd Fagd Pc can be contacted via phone (781) 861-6008, or through Rosenberg, Fawn E via phone (781) 861-6008.

Contact Information

Primary practice address
922 Waltham Street Suite 202 Lexington MA 02421
Fax: (781) 240-0264
Website:
Authorized official contact:
Name: Rosenberg, Fawn E DMD, FAGD

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 10473 Massachusetts
Dental Providers / General Practice 1223G0001X MA16173 Massachusetts

Profile Details

NPI number 1033224605
LBN Legal business name Fawn Rosenberg Dmd Fagd Pc
DBA Doing business as Fawn Rosenberg Dmd Fagd
Authorized official Rosenberg, Fawn E DMD, FAGD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated May 2nd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033224605 NPPES
Other X11765 BLUECROSS

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