Healthcare Provider Details

I. General information

NPI: 1689846263
Provider Name (Legal Business Name): ROBERT F. ROZENE, D.M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 WINTER ST
HYANNIS MA
02601-2963
US

IV. Provider business mailing address

297 WINTER ST
HYANNIS MA
02601-2963
US

V. Phone/Fax

Practice location:
  • Phone: 508-775-1401
  • Fax:
Mailing address:
  • Phone: 508-775-1401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT F ROZENE
Title or Position: OWNER
Credential: DMD
Phone: 508-775-1401