DR. GREGG LEE ROSE DDS
NPI 1730243171
Dentist - Pediatric Dentistry in Champaign, IL

Q: What is Gregg Rose's NPI number?

The NPI number for Gregg Rose is 1730243171. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Gregg Rose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Gregg 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 December 20, 2006

1715 BROADMOOR DR, SUITE B, CHAMPAIGN, IL 61821(217) 352-7337 Get Directions Write a Review

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

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About Dr. Gregg Lee Rose Dds NPPES

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

DR. GREGG LEE ROSE DDS (NPI 1730243171) is an individual pediatric dentistry provider in Champaign, Illinois, licensed in Illinois (021.001507019.021040) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1730243171

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. GREGG LEE ROSECredential: DDS

Location Address1715 BROADMOOR DR, SUITE BChampaign, IL 61821-5983

Mailing Address1715 Broadmoor Dr, Suite BChampaign, IL 61821-5983 · (217) 352-7337

Phone(217) 352-7337

Sole ProprietorYes

Enumeration DateDecember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730243171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IL · 021.001507019.021040

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1715 BROADMOOR DR, Champaign, IL 61821

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Other Providers at the Same Location NPPES

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

WILLIAM JOHN MCCABE JR. D.M.D.

Dentist (Orthodontics and Dentofacial Orthopedics)

1715 BROADMOOR DR, SUITE A
CHAMPAIGN, IL 61821

Champaign County (217) 356-2222

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 Gregg Rose's NPI number?

The NPI number for Gregg Rose is 1730243171. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Gregg Rose located?

Gregg Rose practices at 1715 Broadmoor Dr Suite B, Champaign, IL 61821. The listed phone number is (217) 352-7337.

What is Gregg Rose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gregg 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.