CHARLES ROSENBAUM D.D.S.
NPI 1083645774
Dentist - Pediatric Dentistry in South Bend, IN

Active since July 05, 2006
1005 E LASALLE AVE, SOUTH BEND, IN 46617(574) 245-7501 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Rosenbaum D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES ROSENBAUM D.D.S. (NPI 1083645774) is an individual pediatric dentistry provider in South Bend, Indiana, licensed in Indiana (12005961) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083645774
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameCHARLES ROSENBAUMCredential: D.D.S.
Location Address1005 E LASALLE AVESouth Bend, IN 46617-2818
Mailing Address1005 East Lasalle AvenueSouth Bend, IN 46617 · (574) 245-7501
Sole ProprietorYes
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083645774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IN · 12005961
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1005 E LASALLE AVE, South Bend, IN 46617

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
1005 E LASALLE AVE
SOUTH BEND, IN 46617
Dentist (Pediatric Dentistry)
1005 E LASALLE AVE
SOUTH BEND, IN 46617
Dentist (General Practice)
1005 E LASALLE AVE
SOUTH BEND, IN 46617
Dentist (General Practice)
1005 E LASALLE AVE
SOUTH BEND, IN 46617
Dentist (General Practice)
1005 E LASALLE AVE
SOUTH BEND, IN 46617
Dentist (Pediatric Dentistry)
1005 E LASALLE AVE
SOUTH BEND, IN 46617
Dentist (Pediatric Dentistry)
1005 E LASALLE AVE
SOUTH BEND, IN 46617
Dentist (Pediatric Dentistry)
1005 E LASALLE AVE
SOUTH BEND, IN 46617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Rosenbaum's NPI number?

The NPI number for Charles Rosenbaum is 1083645774. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Charles Rosenbaum located?

Charles Rosenbaum practices at 1005 E Lasalle Ave, South Bend, IN 46617. The listed phone number is (574) 245-7501.

What is Charles Rosenbaum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Charles Rosenbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.