Healthcare Provider Details

I. General information

NPI: 1295639961
Provider Name (Legal Business Name): ROSEWOOD DENTAL OF LIMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 W MARKET ST
LIMA OH
45805-2307
US

IV. Provider business mailing address

1465 N VANDEMARK RD
SIDNEY OH
45365-3547
US

V. Phone/Fax

Practice location:
  • Phone: 937-419-3040
  • Fax:
Mailing address:
  • Phone: 937-419-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADARSH MANI
Title or Position: OWNER-DENTIST
Credential: DDS
Phone: 937-419-3040