Individual provider · Type 1 NPI

Joel Lawrence Rosenlicht, DMD

Oral and Maxillofacial Surgery (Dentist) · Manchester, CT

NPI number 1295744118 Active

Practice location

483 Middle Tpke W
Manchester, CT 06040-3863

Fax (860) 533-1010

Mailing address

483 Middle Tunrpike West
Manchester, CT 06040-1926

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X005324 (CT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1295744118

Joel Lawrence Rosenlicht, DMD's National Provider Identifier is 1295744118, issued on Aug 7, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Manchester, CT. The record was last updated on Jul 8, 2007.