# JEWELL DENTAL OF ROSE VISION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316158157
- **Authorized official:** DR. REGINALD BERNARD JEWELL DDS (PRESIDENT)
- **Authorized official phone:** (313) 839-8888

## Contact information

- **Practice address:** 33228 W 12 MILE RD, SUITE 289, FARMINGTON HILLS, MI 48334-3309
- **Practice address phone:** (313) 839-8888
- **Mailing address:** 33228 W 12 MILE RD, SUITE 289, FARMINGTON HILLS, MI 48334-3309
- **Mailing address phone:** (313) 839-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17336 | MI | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020