John S Rose DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOHN S ROSE DMD PC

Doing business as

Tallassee Family Dentistry

Practice address

1608B Gilmer Ave
Tallassee, AL 36078-2314

Phone

(334) 283-8115

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John S Rose, DMD

Title

President

Phone

(205) 370-9850

Specialties & licenses 1

Addresses

Other names 1

• Tallassee Family Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1215679444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608B GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782314",
            "telephone_number": "334-283-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608B GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782314",
            "telephone_number": "334-283-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S ROSE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-370-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallassee Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackson Hospital & Clinic, Inc. (Jackson Clinic OBGYN Tallassee)
• Jackson Hospital and Clinic Inc (Jackson Clinic Cardiology)
• Linda Story Jennings, MS, RD, LD
• Jerkins Inc (East Tallassee Pharmacy)
• Jerkins Inc (The Apothecary Shop)
• Collin Jones
• Shawn Keahey, DDS
• Zane Penton Kelly, CRNP
• Mary Kate Lackey
• Donna Lindsey

• Dental Clinic/Center in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.