Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRAIG RUSSELL ROSE, DDS
Active Sole ProprietorCRAIG RUSSELL ROSE, DDS is a General Dentistry healthcare provider located in HICO, Texas. NPI 1316147218 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HICO, TX
Registration Details
- NPI Number
- 1316147218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2007 (19.062252134915 yrs)
- Last Updated
- Dec 14, 2011
- Licenses
-
6091 (OK)2007018212 (MO)27248 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 S WALNUT STHICO, TX, 764576298Browse TX providers · Browse ZIP 76457
- Phone
- 2547964500
- Fax
- 2547964508
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.