MEDICARE: DR. STEVEN FRANCES ROSPOND D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6429	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	116593	OTHER	KS	BLUE CROSS/BLUE SHIELD
2	824214	OTHER	KS	UNITED CONCORDIA

General Provider Information

NPI Number	:	1770586935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN FRANCES ROSPOND D.D.S.

Provider Business Mailing Address
First Line	:	620 N GEORGIE AVE
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-1724
Country	:	US
Telephone Number	:	316-788-2928
Fax Number	:	316-788-7817

Provider Business Practice Location Address
First Line	:	620 N GEORGIE AVE
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-1724
Country	:	US
Telephone Number	:	316-788-2928
Fax Number	:	316-788-7817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. STEVEN FRANCES ROSPOND D.D.S.” Practice Location

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