Charles Rosenbaum
Pediatric Dentist
1005 E Lasalle Ave
South Bend
, Indiana 46617-2818
Charles Rosenbaum
Pediatric Dentist
1005 E Lasalle Ave
South Bend
, Indiana 46617-2818
(574) 245-7501
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Charles Rosenbaum
- 1005 East Lasalle Avenue
- South Bend, IN
- Zip : 46617
- Phone : (574) 245-7501
Second Address
- Charles Rosenbaum
- 1005 E Lasalle Ave
- South Bend, IN
- Zip : 46617-2818
- Phone : (574) 245-7501
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 12005961 | IN |
National Provider Identifier
| NPI | 1083645774 |
|---|---|
| Provider Name | Charles Rosenbaum |
| First Address | South Bend, IN 46617 |
| Second Address | South Bend, IN 46617-2818 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.