| Rose And Rose Dds Pa | |
|
55 Ireland Road Bayboro NC 28515-0489 | |
| (252) 745-4560 | |
| (252) 745-4862 |
| Full Name | Rose And Rose Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 55 Ireland Road, Bayboro, North Carolina |
| Authorized Official Name and Position | Joshua Clayton Rose (PRESIDENT) |
| Authorized Official Contact | 2527454560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose And Rose Dds Pa Po Box 489 55 Ireland Road Bayboro NC 28515-0489 Ph: (252) 745-4560 | Rose And Rose Dds Pa 55 Ireland Road Bayboro NC 28515-0489 Ph: (252) 745-4560 |
| NPI Number | 1811193907 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811193907 | NPI | - | NPPES |
| 89902GG | Medicaid | NC | |
| 7409 | Other | NC | STATE LICENSE OF DDS |
| 89902JA | Medicaid | NC | |
| 7479 | Other | NC | STATE LICENSE OF DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7479 (North Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 7409 (North Carolina) | Secondary |
Pamlico Community Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 313 Main St, Bayboro, NC 28515 Phone: 252-745-2070 Fax: 855-422-9508 |