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Dr. Kelly S Rose, DDS
Pediatric Dentist in Buffalo, New York
NPI 1932167145

Kelly S Rose is a Pediatric Dentist based in Buffalo, NY and is specialized in Pediatric Dentistry. Kelly S Rose practices in Buffalo, NY and has the professional credentials of DDS. The NPI Number for Kelly S Rose is 1932167145 and holds a License No. 050914 (New York).

The current practice location address for Kelly S Rose is 1100 Main St, Buffalo, NY and can be reached out via phone at 716-242-8200.

Location: 1100 Main St, Buffalo, NY, 14209-2308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932167145
Provider Name
Kelly S Rose
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1100 Main St, Buffalo, NY, 14209-2308
Phone Number
716-242-8200
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03376083 05 NY
institution
Provider Business Practice Location Address Details
Address
1100 Main St
City
Buffalo
State
New York
Zip
14209-2308
Phone Number
716-242-8200
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Main St
City
Buffalo
State
New York
Zip
14209-2308
Phone Number
716-242-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
050914 (New York)
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.
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