Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRICK W ROSE, D.M.D.
ActiveJERRICK W ROSE, D.M.D. is a Pediatric Dentistry healthcare provider located in JACKSON, Mississippi. NPI 1801150958 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · JACKSON, MS
Registration Details
- NPI Number
- 1801150958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2012 (14.141828815131 yrs)
- Last Updated
- Jun 13, 2018
- Licenses
-
3662-12 (MS)3662-12 (MS)PEDO-482-14 (MS)
Practice Information
- Address
-
2500 N STATE STJACKSON, MS, 39216Browse MS providers · Browse ZIP 39216
- Phone
- 6019846100
- Fax
- 6018155837
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. GAIL V BENTON | D.D.S. | 1497747661 |
| DR. WILLIAM KEITH DUNCAN | D.D.S. | 1790719169 |
| DR. LUBNA FAWAD | D.D.S | 1548273576 |
| DR. WILHELMINA FOUCHE O'REILLY | D.D.S. | 1609974757 |
| DR. NEVA PENTON EKLUND | D.M.D. | 1356416556 |
| DR. TERESA MIXON PERKINS | DMD | 1164579504 |
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.