DR. ALICIA ANNE ROSE D.M.D.
NPI 1225259104
Dentist - General Practice in Jackson, MS

Q: What is Alicia Rose's NPI number?

The NPI number for Alicia Rose is 1225259104. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Alicia Rose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2007

350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, SUITE 3516, JACKSON, MS 39213(601) 987-5566(601) 987-5595 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Alicia Anne Rose D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICIA ANNE ROSE D.M.D. (NPI 1225259104) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (3196-01) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1225259104

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ALICIA ANNE ROSECredential: D.M.D.

Location Address350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, SUITE 3516Jackson, MS 39213-7681

Mailing Address5518 Pine Lane DrJackson, MS 39211-4018 · (601) 899-9200 · Fax (601) 899-9200

Phone(601) 987-5566

Fax(601) 987-5595

Sole ProprietorYes

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225259104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 3196-01

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

350 W WOODROW WILSON AVE, Jackson, MS 39213

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSON STATE UNIVERSITY

Social Worker (Clinical)

350 W WOODROW WILSON AVE
JACKSON, MS 39213

Hinds County (601) 979-1531

DR. EVA MAE HENDERSON M.D.

Pediatrics

350 W WOODROW WILSON AVE
JACKSON, MS 39213

Hinds County (601) 709-5150

WANDA JOHNSON BCFNP

Nurse Practitioner (Family)

350 W WOODROW WILSON AVE, SUITE 411
JACKSON, MS 39213

Hinds County (601) 364-2666

DR. SHEILA KALKA JEFF MD

Family Medicine

350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213

Hinds County (601) 364-2666

TIMOTHY PAUL MCNEILL RN

Registered Nurse

350 W WOODROW WILSON AVE, #499A
JACKSON, MS 39213

Hinds County (601) 500-7709

DR. KANDIS VECHELLE BACKUS PHARMD

Pharmacist (Ambulatory Care)

350 W WOODROW WILSON AVE
JACKSON, MS 39213

Hinds County (601) 815-3272

DR. SRINIVASAN VIJAYAKUMAR M.D.

Radiology (Radiation Oncology)

350 W WOODROW WILSON AVE, SUITE 16
JACKSON, MS 39213

Hinds County (601) 815-6886

MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC

Nurse Practitioner (Primary Care)

350 W WOODROW WILSON AVE, SUITE 499A
JACKSON, MS 39213

Hinds County (601) 700-7709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Rose's NPI number?

The NPI number for Alicia Rose is 1225259104. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Alicia Rose located?

Alicia Rose practices at 350 W Woodrow Wilson Ave Jackson Medical Mall, Suite 3516, Jackson, MS 39213. The listed phone number is (601) 987-5566.

What is Alicia Rose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Alicia Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.