Individual provider · Type 1 NPI

Jerry Harris Rosenbaum, DDS, M.S.

Periodontics · Fort Lauderdale, FL

NPI number 1659485787 Active

Practice location

3037 E Commercial Blvd
Fort Lauderdale, FL 33308-4311

Fax (954) 772-3663

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X4875 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1659485787

Jerry Harris Rosenbaum, DDS, M.S.'s National Provider Identifier is 1659485787, issued on Aug 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 8, 2007.