Individual provider · Type 1 NPI

Jennifer Rottenberg, DDS

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1639631682 Active

Practice location

650 W Baltimore St
Baltimore, MD 21201-1510

Call (443) 632-6532 Map

Mailing address

611 S Charles St Unit 432
Baltimore, MD 21230-3886

Other practice locations

  • 12330 High Stakes Dr, Reisterstown, MD 21136-5772 · (443) 632-6532

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639631682

Jennifer Rottenberg, DDS's National Provider Identifier is 1639631682, issued on Apr 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 1, 2019.