MEDICARE: DR. RACHEL ROSEN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	30-024232	OH
2	1223P0221X	Pediatric Dentistry	30.024232	OH

General Provider Information

NPI Number	:	1518373232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL ROSEN DDS

Provider Business Mailing Address
First Line	:	9964 VAIL DR
Second Line	:	#1
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2972
Country	:	US
Telephone Number	:	330-425-1885
Fax Number	:

Provider Business Practice Location Address
First Line	:	9964 VAIL DR
Second Line	:	#1
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2972
Country	:	US
Telephone Number	:	330-425-1885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	03/02/2017

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Directions to “ DR. RACHEL ROSEN DDS” Practice Location

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