| John S Rose Dmd Pc | |
| 
					1608b Gilmer Ave Tallassee AL 36078-2314  | |
| (334) 283-8115 | |
| Not Available | 
| Full Name | John S Rose Dmd Pc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 1608b Gilmer Ave, Tallassee, Alabama | 
| Authorized Official Name and Position | John S Rose (PRESIDENT) | 
| Authorized Official Contact | 2053709850 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| John S Rose Dmd Pc 1608b Gilmer Ave Tallassee AL 36078-2314 Ph: (334) 283-8115  | John S Rose Dmd Pc 1608b Gilmer Ave Tallassee AL 36078-2314 Ph: (334) 283-8115  | 
| NPI Number | 1215679444 | 
|---|---|
| Provider Enumeration Date | 04/08/2022 | 
| Last Update Date | 04/08/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215679444 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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