Individual provider · Type 1 NPI

Charles Rosenbaum, DDS

Pediatric Dentistry · South Bend, IN

NPI number 1083645774 Active

Practice location

1005 E Lasalle Ave
South Bend, IN 46617-2818

Call (574) 245-7501 Map

Mailing address

1005 East Lasalle Avenue
South Bend, IN 46617

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X12005961 (IN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1083645774

Charles Rosenbaum, DDS's National Provider Identifier is 1083645774, issued on Jul 5, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.