MEDICARE: DR. RICHARD LEE ROSEN DMD

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	122300000X	Dentist	2785	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558305250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD LEE ROSEN DMD

Provider Business Mailing Address
First Line	:	9235 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1567
Country	:	US
Telephone Number	:	414-462-3160
Fax Number	:

Provider Business Practice Location Address
First Line	:	9235 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1567
Country	:	US
Telephone Number	:	414-462-3160
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1255283701 — SOLACE GROVE BEHAVIORAL HEALTH INC
Practice Location Address:

9235 W CAPITOL DR STE 200
MILWAUKEE, WI
53222-1567

Practice Phone: 480-485-7262
Practice Fax:

1760593008 — ROLAND P WOLFERSTETTER DDS LLC
Practice Location Address:

9235 W CAPITOL DR , SUITE 202
MILWAUKEE, WI
53222-1567

Practice Phone: 414-464-8600
Practice Fax: 414-464-8603

1245395169 — RONALD DROBAC, TOSA PHARMACY
Practice Location Address:

9235 W CAPITOL DR
MILWAUKEE, WI
53222-1567

Practice Phone: 414-462-1700
Practice Fax: 414-462-4170

1073661104 — DR. ROLAND PETER WOLFERSTETTER DDS
Practice Location Address:

9235 W CAPITOL DR , SUITE 202
MILWAUKEE, WI
53222-1567

Practice Phone: 414-464-8600
Practice Fax: 414-464-8603

1134575236 — DR. LATOYA K WILLIAMS PSY.D.
Practice Location Address:

9235 W CAPITOL DR UNIT 402
MILWAUKEE, WI
53222-1567

Practice Phone: 262-343-1139
Practice Fax:

1669901104 — EDNA HUDSON-KINZEY MSN, ED, RN
Practice Location Address:

9235 W CAPITOL DR # LL1
MILWAUKEE, WI
53222-1567

Practice Phone: 414-376-9258
Practice Fax:

Directions to “ DR. RICHARD LEE ROSEN DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.