Dr. Landi Jennifer Rosenau, DDS
Dentist, General Practice in Indian Land, SC. Individual provider (NPI-1).
NPI number1366965337
StatusActive
Last updated in NPPESAug 10, 2021
Details
- NPI
- 1366965337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Landi Jennifer Rosenau
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2017
- Certification date
- Aug 10, 2021
- Last updated
- Aug 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9798 | SC | Yes |
| 1223G0001X | Dentist, General Practice | 10814 | NC |
Practice location
9456 Charlotte Hwy Ste 202Indian Land, SC 29707-7953
Phone 803-766-7973
Mailing address
958 Meadow Vista DrWaxhaw, NC 28173-5011
Phone 704-607-1678
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