Craig Russell Rose, DDS is a
Dentist - General Practice based in Hico, Texas. Craig Russell Rose is licensed to practice in Texas (license number 27248) and his current practice location is
107 S Walnut St, Hico, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 796-4500.
NPI number for Craig Russell Rose is 1316147218 and his current mailing address is Po Box 658, Hico, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316147218.
Healthcare Provider's Profile
| Full Name | Craig Russell Rose |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 107 S Walnut St, Hico, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316147218
- Provider Enumeration Date: 07/19/2007
- Last Update Date: 12/14/2011
Medical Identifiers
Medical identifiers for Craig Russell Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316147218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 6091 (Oklahoma) | Secondary |
| 1223G0001X | Dentist - General Practice | 2007018212 (Missouri) | Secondary |
| 1223G0001X | Dentist - General Practice | 27248 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Craig Russell Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Craig Russell Rose, DDS
Po Box 658,
Hico, TX 76457-0658
Ph: (254) 796-4500 | Craig Russell Rose, DDS
107 S Walnut St,
Hico, TX 76457-6298
Ph: (254) 796-4500 |
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