MEDICARE: DR. JOEL WILLIAM ROSENFELD 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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN23037	FL

General Provider Information

NPI Number	:	1588184873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL WILLIAM ROSENFELD DMD

Provider Business Mailing Address
First Line	:	3251 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4457
Country	:	US
Telephone Number	:	772-692-1447
Fax Number	:

Provider Business Practice Location Address
First Line	:	3251 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4457
Country	:	US
Telephone Number	:	772-692-1447
Fax Number	:

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

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	11/13/2024

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