MICHAEL ROSENBAUM DMD
NPI 1104810530
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since August 31, 2005
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149(215) 743-3700(215) 743-3706 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Rosenbaum Dmd NPPES

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

MICHAEL ROSENBAUM DMD (NPI 1104810530) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS025205L) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1104810530
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameMICHAEL ROSENBAUMCredential: DMD
Location Address6404 ROOSEVELT BLVDPhiladelphia, PA 19149-2943
Mailing Address6404 Roosevelt BlvdPhiladelphia, PA 19149-2943 · (215) 743-3700 · Fax (215) 743-3706
Fax(215) 743-3706
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateApril 2, 2012
NPI 1104810530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PA · DS025205L
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.

6404 ROOSEVELT BLVD, Philadelphia, PA 19149

Other Identifiers 1

Medicaid001148784PA

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Orthodontics and Dentofacial Orthopedics)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD, LOWER LEVEL
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149

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 Michael Rosenbaum's NPI number?

The NPI number for Michael Rosenbaum is 1104810530. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Michael Rosenbaum located?

Michael Rosenbaum practices at 6404 Roosevelt Blvd, Philadelphia, PA 19149. The listed phone number is (215) 743-3700.

What is Michael Rosenbaum's specialty?

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

What insurance does Michael Rosenbaum accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Michael Rosenbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Rosenbaum was last updated on April 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.