Dr Jennifer Rose, DDS is a
Student In An Organized Health Care Education/training Program based in Salt Lake City, Utah. Dr Jennifer Rose is licensed to practice in * (Not Available) (license number ) and her current practice location is
50 N Medical Dr,, University Hospital, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(785) 760-7244.
NPI number for Dr Jennifer Rose is 1942697933 and her current mailing address is 50 N Medical Dr,, University Hospital, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942697933.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Rose |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 50 N Medical Dr,, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942697933
- Provider Enumeration Date: 04/17/2015
- Last Update Date: 04/17/2015
Medical Identifiers
Medical identifiers for Dr Jennifer Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942697933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 12012212A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Jennifer 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 |
|---|
Dr Jennifer Rose, DDS
50 N Medical Dr,, University Hospital,
Salt Lake City, UT 84112
Ph: () - | Dr Jennifer Rose, DDS
50 N Medical Dr,, University Hospital,
Salt Lake City, UT 84112
Ph: (785) 760-7244 |
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