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Deactivated NPI 1356564652 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Bruce Roseman , DMD

Dentist - General Practice • Wallingford, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Roseman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2007
NPI Deactivation Date June 15, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Roseman, DMD was a registered Dentist - General Practice practicing in Wallingford, CT. Throughout an active medical career spanning 15 years, Dr. Roseman provided care at the practice location at 826 EAST CENTER STREET until profile deactivation on 2022-06-15.

Practice Location & Contact Primary Location

Practice Address

826 East Center Street

Wallingford, CT 064925090

Telephone 2032655121
Fax 2032655121

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wallingford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Wallingford, CT (1821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 4758

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 15, 2022

Record deactivated on June 15, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 826 EAST CENTER STREET, WALLINGFORD, CT 064925090 (Tel: 2032655121)

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Updated Business Mailing Address July 08, 2007

Registered at 826 EAST CENTER STREET, WALLINGFORD, CT 064925090 (Tel: 2032655121)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH ROSEMAN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4758 in CT)

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Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356564652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Deactivation Date: June 15, 2022

Mailing Address

826 East Center Street

Wallingford, CT 064925090

Phone: 2032655121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.