| Alan B. Rosenthal Dmd, Llc | |
|
120 East Ave Norwalk CT 06851-5703 | |
| (203) 853-0880 | |
| Not Available |
| Full Name | Alan B. Rosenthal Dmd, Llc |
|---|---|
| Speciality | Dentist |
| Location | 120 East Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Alan B Rosenthal (OWNER) |
| Authorized Official Contact | 2038530880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan B. Rosenthal Dmd, Llc 120 East Ave Norwalk CT 06851-5703 Ph: (203) 853-0880 | Alan B. Rosenthal Dmd, Llc 120 East Ave Norwalk CT 06851-5703 Ph: (203) 853-0880 |
| NPI Number | 1871039644 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 7810264348 |
|---|---|
| Medicare Enrollment ID | O20170605000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871039644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
| Provider Name | Alan B Rosenthal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689688772 PECOS PAC ID: 2668751975 Enrollment ID: I20161109001181 |
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