Tommy Rose is a Dentist in Kansas City, Kansas. Tommy Rose practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tommy Rose is 1003806191. The last update date is 2007-07-08.
Tommy Rose's current location address is 753 State Ave, Kansas City, Kansas. You can contact this provider via phone number 9133213999 and fax number 9133215766. The mailing address for Tommy Rose is 753 State Ave, Kansas City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tommy Rose |
|---|---|
| Address | 753 State Ave, Kansas City, Kansas |
| Phone Number | 9133213999 |
| Fax Number | 9133215766 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1003806191 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 753 State Ave |
|---|---|
| City | Kansas City |
| State | Kansas (KS) |
| Post Code | 661012516 |
| Phone Number | 9133213999 |
| Fax Number | 9133215766 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6742 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Tommy Rose's unique identification number?
The Tommy Rose has been assigned the NPI (National Provider Identifier) Number 1003806191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Tommy Rose?
The Tommy Rose is physically situated at 753 State Ave, in the city of Kansas City, state of KS, with the postal code 661012516.
What is the Tommy Rose's area of specialization and corresponding taxonomy classification?
The Tommy Rose's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Tommy Rose receive its 1003806191 assignment from the Centers for Medicare & Medicaid Services?
The Tommy Rose was assigned its 1003806191 on 2005-10-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Tommy Rose's information last updated?
The Tommy Rose's information was last updated on 2007-07-08.