Jerrick W. Rose, D.M.D.
Pediatric Dentistry · Jackson, MS
Practice location
2500 N State StJackson, MS 39216
- Phone
- (601) 984-6100
- Fax
- (601) 815-5837
NPI record
- NPI
- 1801150958
- Entity type
- Individual (Type 1)
- Enumeration date
- July 3, 2012
- Last updated
- June 13, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
PEDO-482-14 | MS |
| Dentist | 122300000X |
3662-12 | MS |
| Pediatric Dentistry | 1223P0221X |
3662-12 | MS |
Mailing address
603 Southern Oaks DrFlorence, MS 39073-9456
- Phone
- (601) 941-6237
- Fax
- (601) 815-5837
About Dr. Rose
Jerrick W. Rose, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 2500 N State St, Jackson, MS 39216. The NPI number 1801150958 was assigned on July 3, 2012 and the record was last updated on June 13, 2018.
Dr. Rose lists 3 licenses in the registry: #PEDO-482-14 (MS) for Pediatric Dentistry; #3662-12 (MS) for Dentist; #3662-12 (MS) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jerrick W. Rose, D.M.D.?
The NPI number is 1801150958.
What is the phone number of Dr. Rose?
The phone number listed for the practice location is (601) 984-6100.
Where is Dr. Rose located?
2500 N State St, Jackson, MS 39216.
What is the taxonomy code for Dr. Rose?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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