Dusty Ellen Rose, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24165 Issued in FL

Practice address

723 N Young Blvd
Chiefland, FL 32626-1312

Phone

(352) 493-1416

Fax

(352) 493-2057

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CDPG, P.L.

  • General Practice Dentistry
  • Williston, FL
  • NPI 1316608052
  NPD (past)
• Paul Pimentel DDS Holdings, PLLC

  • General Practice Dentistry
  • Ocala, FL
  • NPI 1679959142
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1902465859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N YOUNG BLVD",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261312",
            "telephone_number": "352-493-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N YOUNG BLVD",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261312",
            "telephone_number": "352-493-1416",
            "fax_number": "352-493-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DUSTY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E. Mount, Jr., D.D.S. P.a.
• Eric K Robinson, R.PH.
• Tarence Lee Robinson
• Douglas A Rogers, D.O.
• Osa Romero, PTA
• Elizabeth Anne Sanders, PTA
• Louis Allen Schwartz, O.D.
• Elin Kennedy-Elmquist Schwarz, M.S., CCC-SLP
• Iris Anne Sleep, P.T.
• Susan C Snelling, DIPL. ACUPUNCTURE

• General Practice Dentistry in Chiefland, FL
• Providers in Chiefland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.