Individual provider · Type 1 NPI

Ida Lynn Rose, DDS

Pediatric Dentistry · Lithia Springs, GA

NPI number 1972673135 Active

Practice location

540 Thornton Rd
Lithia Springs, GA 30122-1591

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN012631 (GA)

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.

4 other providers at this address

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About NPI 1972673135

Ida Lynn Rose, DDS's National Provider Identifier is 1972673135, issued on Nov 8, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lithia Springs, GA. The record was last updated on Apr 28, 2026.