MR. ROBERT JOHN ROSEMA (NPI# 1629140116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629140116 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JOHN ROSEMA |
| Credential | DDS |
| Practice Address |
2017 Eastcastle Dr Se Suite C Grand Rapids MI 49508 |
| Mailing Address |
3281 Woodwind Ne Grand Rapids MI 49525 |
| Practice Telephone | 6162812370 |
| Practice Fax Number | 6162812801 |
| Mailing Telephone | 6163615158 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901011345 | MI | Dental Providers |
| Street Address |
2017 EASTCASTLE DR SE SUITE C |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376771618 | Douglas Eugene Ladue IIi | Dentist | 2017 Eastcastle Dr Se, Suite A, Grand Rapids, MI 49508-8872 | 2009-06-25 |
| 1326291816 | Great Lakes Jaw Surgery, PC | Dentist | 2017 Eastcastle Dr Se, Suite C, Grand Rapids, MI 49508-8872 | 2008-10-28 |
| 1346307428 | Scott Anthony Pirochta | Dentist | 2017 Eastcastle Dr Se, Suite B, Grand Rapids, MI 49508-8872 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730440983 | Igor Makovey | Dentist | 4500 Cascade Rd Se Ste 208, Grand Rapids, MI 49546-3665 | 2012-06-05 |
| 1598084147 | Bradley Michael Robinson | Dentist | 200 43rd Street Se, Suite D, Grand Rapids, MI 49508 | 2010-05-21 |
| 1184885154 | Mark Jesin | Dentist | 3855 Burton St Se Ste B, Grand Rapids, MI 49546 | 2008-06-22 |
| 1679668529 | Oral and Maxillofacial Surgical Associates | Dentist | 813 S Pokegama Ave, Grand Rapids, MN 55744-3934 | 2006-10-04 |
| 1003908575 | Robert L Kintz | Dentist | 2144 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-6111 | 2006-09-29 |
| 1740371087 | Richard W Panek | Dentist | 4349 Sawkaw Dr Ne, Grand Rapids, MI 49525-1768 | 2006-09-28 |
| 1033223250 | Oral Surgery Associates, PC | Dentist | 2144 E Paris Ave Se Ste 150, Grand Rapids, MI 49546-6126 | 2006-08-17 |
| 1427002377 | David R Dalrymple | Dentist | 550 3 Mile Rd Nw, Grand Rapids, MI 49544-8207 | 2006-05-22 |
| 1508324732 | Advanced Oral Surgery, Pllc | Dentist | 3855 Burton St Se Ste B, Grand Rapids, MI 49546-6147 | 2019-03-06 |
| 1992945943 | Alpine Oral Surgery PC | Dentist | 550 3 Mile Rd Nw, Grand Rapids, MI 49544-8207 | 2009-03-04 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on MR. ROBERT JOHN ROSEMA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.