Individual provider · Type 1 NPI

Jerrick W. Rose, DMD

Pediatric Dentistry · Jackson, MS

NPI number 1801150958 Active

Practice location

2500 N State St
Jackson, MS 39216

Call (601) 984-6100 Map

Fax (601) 815-5837

Mailing address

603 Southern Oaks Dr
Florence, MS 39073-9456

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X3662-12 (MS)
Pediatric Dentistry 1223P0221X3662-12 (MS)
Pediatric Dentistry Primary 1223P0221XPEDO-482-14 (MS)

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.

2,666 other providers at this address

Other pediatric dentistry providers in Jackson

See all in Jackson →

About NPI 1801150958

Jerrick W. Rose, DMD's National Provider Identifier is 1801150958, issued on Jul 3, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jackson, MS. The record was last updated on Jun 13, 2018.