Rose, Jerrick W

Rose, Jerrick W is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Rose, Jerrick W can be contacted via phone (601) 984-6100.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216
Phone: (601) 984-6100
Fax: (601) 815-5837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3662-12 Mississippi
Dental Providers / Pediatric Dentistry 1223P0221X 3662-12 Mississippi
Dental Providers / Pediatric Dentistry 1223P0221X PEDO-482-14 Mississippi

Profile Details

NPI number 1801150958
LBN Legal business name Rose, Jerrick W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2012
Last updated Jun 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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