Healthcare Provider Details

I. General information

NPI: 1952624785
Provider Name (Legal Business Name): SHAUN ROTENBERG D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W 12TH AVE ROOM 4102
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

305 W 12TH AVE ROOM 4102
COLUMBUS OH
43210-1267
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-4927
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number30-023160
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: