Healthcare Provider Details

I. General information

NPI: 1518818285
Provider Name (Legal Business Name): EMERSON JEAN ROSENAU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 5TH AVE NE
JAMESTOWN ND
58401-3437
US

IV. Provider business mailing address

916 5TH AVE NE
JAMESTOWN ND
58401-3437
US

V. Phone/Fax

Practice location:
  • Phone: 701-252-6752
  • Fax: 701-252-6753
Mailing address:
  • Phone: 701-252-6752
  • Fax: 701-252-6753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2594
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: