Individual provider · Type 1 NPI

Alicia Anne Rose, DMD

General Practice Dentistry · Jackson, MS

NPI number 1225259104 Active

Practice location

350 W Woodrow Wilson Ave, Jackson Medical Mall, Suite 3516
Jackson, MS 39213-7681

Call (601) 987-5566 Map

Fax (601) 987-5595

Mailing address

5518 Pine Lane Dr
Jackson, MS 39211-4018

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3196-01 (MS)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1225259104

Alicia Anne Rose, DMD's National Provider Identifier is 1225259104, issued on May 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.