Kelly S Rose is a Pediatric Dentistry in Buffalo, New York. Kelly S Rose practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kelly S Rose is 1932167145. The last update date is 2012-01-11.
Kelly S Rose's current location address is 1100 Main St, Buffalo, New York. You can contact this provider via phone number 7162428200. The mailing address for Kelly S Rose is 1100 Main St, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly S Rose |
|---|---|
| Address | 1100 Main St, Buffalo, New York |
| Phone Number | 7162428200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1932167145 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2012-01-11 |
Provider Mailing Address Detail
| Address | 1100 Main St |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142092308 |
| Phone Number | 7162428200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 50914 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3376083 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly S Rose by the Centers for Medicare & Medicaid Services?
The Kelly S Rose has been issued the NPI (National Provider Identifier) 1932167145 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kelly S Rose's facilities are situated?
The facilities of Kelly S Rose are physically located at the following address: 1100 Main St, Buffalo, NY, 142092308.
What is Kelly S Rose's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly S Rose is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When did the Kelly S Rose receive its 1932167145?
The Kelly S Rose was issued its 1932167145 on 2006-05-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kelly S Rose, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly S Rose, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-11.
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