FAWN ROSENBERG DMD FAGD PC NPI 1033224605

NPI Information

  • NPI: 1033224605
  • Provider Name: FAWN ROSENBERG DMD FAGD PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: FAWN ROSENBERG DMD FAGD
  • Address: 922 WALTHAM STREET
    SUITE 202
    LEXINGTON, MA
    ZIP 02421
  • Phone: (781) 861-6008

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NPI Details

FAWN ROSENBERG DMD FAGD PC is a general practice dentist in Lexington, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FAWN ROSENBERG DMD FAGD PC NPI is 1033224605. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Fawn Rosenberg Dmd Fagd.

The provider's business location address is:

922 WALTHAM STREET
SUITE 202
LEXINGTON, MA
ZIP 02421
Phone: (781) 861-6008
Fax: (781) 240-0264

The provider's authorized official is Fawn E Rosenberg .
The authorized official title is Dentist/owner and has the following contact phone number (781) 861-6008.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics10473MASSACHUSETTSNo
21223G0001XDentistGeneral PracticeMA16173MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1X11765OTHERBLUECROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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