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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD T ROSE, DMD, MS

Active Sole Proprietor

DR. EDWARD T ROSE, DMD, MS is a Endodontics healthcare provider located in MARYVILLE, Illinois. NPI 1992922876 is currently active in the NPPES registry. Verify at CMS.

Endodontics · MARYVILLE, IL

Registration Details

NPI Number
1992922876
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2007 (19.326647562701 yrs)
Last Updated
Jan 18, 2008
Sole Proprietor
Yes

Practice Information

Address
4 OAK DR
UNIT B
MARYVILLE, IL, 62062
Browse IL providers · Browse ZIP 62062
Phone
6182887372
Primary Specialty
Endodontics
1223E0200X
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.