Alicia Anne Rose in Jackson - General Practice

Alicia Anne Rose - NPI 1225259104

Alicia Anne Rose is a General Practice in Jackson, Mississippi. Alicia Anne Rose practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alicia Anne Rose is 1225259104. The last update date is 2007-07-08.

Alicia Anne Rose's current location address is 350 W Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6019875566 and fax number 6019875595. The mailing address for Alicia Anne Rose is 350 W Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Alicia Anne Rose
Address 350 W Woodrow Wilson Ave, Jackson, Mississippi
Phone Number 6019875566
Fax Number 6019875595
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1225259104
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 350 W Woodrow Wilson Ave
City Jackson
State Mississippi (MS)
Post Code 392137681
Phone Number 6019875566
Fax Number 6019875595

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3196-01
Definition:
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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FAQs about Alicia Anne Rose

What is the unique 10-digit identification code issued to Alicia Anne Rose by the Centers for Medicare & Medicaid Services?

The Alicia Anne Rose has been assigned the NPI (National Provider Identifier) 1225259104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Alicia Anne Rose's physical address?

The Alicia Anne Rose is physically located at 350 W Woodrow Wilson Ave, in the city of Jackson, MS, with the postal code 392137681.

What is the Alicia Anne Rose's specialty and taxonomy code?

The Alicia Anne Rose's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date was the 1225259104 assigned to Alicia Anne Rose?

The Alicia Anne Rose was issued its 1225259104 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Alicia Anne Rose most recently updated or revised?

The information pertaining to Alicia Anne Rose, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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