MARC ROSENTHAL DDS NPI 1992794598

NPI Information

NPI: 1992794598
Provider Name: MARC ROSENTHAL, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
641 W 63RD ST
CHICAGO, IL
ZIP 60621
Phone: (719) 589-5161
Get Directions

Marc Rosenthal, DDS is a general practice dentist in Chicago, IL. 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. Marc Rosenthal, DDS NPI is 1992794598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

641 W 63RD ST
CHICAGO, IL
ZIP 60621-032
Phone: (719) 589-5161

The NPI 1992794598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/17/2005 and was last updated on 7/20/2022.

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
1	122300000X	Dentist		8416	COLORADO	No
2	1223G0001X	Dentist	General Practice	019.030533	ILLINOIS	Yes

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
1	27839770	MEDICAID	COLORADO
2	840706945138	OTHER	COLORADO	ROCKY MOUNTAIN HEALTH PLA
3	16678028	OTHER		NEW MEXICO MEDICAID
4	019030533	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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