Healthcare Provider Details

I. General information

NPI: 1922902683
Provider Name (Legal Business Name): ROSEWOOD DENTAL OF SPRINGFIELD
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

1919 E HIGH ST
SPRINGFIELD OH
45505-1227
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: 937-492-7993
Mailing address:
  • Phone: 937-419-3040
  • Fax: 937-492-7993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

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