JERRICK W ROSE D.M.D.
NPI 1801150958
Dentist - Pediatric Dentistry in Jackson, MS

Active since July 03, 2012
2500 N STATE ST, JACKSON, MS 39216(601) 984-6100(601) 815-5837 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerrick W Rose D.m.d. NPPES

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

JERRICK W ROSE D.M.D. (NPI 1801150958) is an individual pediatric dentistry provider in Jackson, Mississippi, licensed in Mississippi (PEDO-482-14) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1801150958
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJERRICK W ROSECredential: D.M.D.
Location Address2500 N STATE STJackson, MS 39216
Mailing Address603 Southern Oaks DrFlorence, MS 39073-9456 · (601) 941-6237 · Fax (601) 815-5837
Fax(601) 815-5837
Sole ProprietorNo
Enumeration DateJuly 3, 2012
Last NPPES UpdateJune 13, 2018
NPI 1801150958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in MS · PEDO-482-14 Licensed in MS · 3662-12
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.
Also ListedDentistTaxonomy 122300000X · License 3662-12 (MS)
2500 N STATE ST, Jackson, MS 39216

Accepted Insurance

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Jerrick Rose's NPI number?

The NPI number for Jerrick Rose is 1801150958. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Jerrick Rose located?

Jerrick Rose practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-6100.

What is Jerrick Rose's specialty?

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

What insurance does Jerrick Rose accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 4 other insurers list Jerrick Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerrick Rose was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.