Provider Demographics
NPI:1063396653
Name:ROSALES, GERMAN ALBERTO (DDS)
Entity type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:ALBERTO
Last Name:ROSALES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4719 N OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2914
Mailing Address - Country:US
Mailing Address - Phone:305-891-2444
Mailing Address - Fax:
Practice Address - Street 1:4719 N OCEAN DR
Practice Address - Street 2:
Practice Address - City:LAUDERDALE BY THE SEA
Practice Address - State:FL
Practice Address - Zip Code:33308-2914
Practice Address - Country:US
Practice Address - Phone:305-891-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN307981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty