Individual provider · Type 1 NPI
Gregg Lee Rose, DDS
Pediatric Dentistry · Champaign, IL
NPI number
1730243171
Active
Practice location
1715 Broadmoor Dr, Suite B
Champaign, IL 61821-5983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 021.001507019.021040 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1730243171
Gregg Lee Rose, DDS's National Provider Identifier is 1730243171, issued on Dec 20, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.