IndividualActive
Charles Rosenbaum, D.D.S.
NPI 1083645774 · Pediatric Dentistry · South Bend, IN
Provider details
- NPI number
- 1083645774
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12005961 (IN)
Specialties & taxonomies
Dental Providers
Practice location
1005 E Lasalle Ave
South Bend, IN 46617-2818
Phone: (574) 245-7501
Approximate (ZIP-level) locationGet directions
Mailing address
1005 East Lasalle Avenue
South Bend, IN 46617
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.