Individual
DR. JONATHAN CALEB ROSSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.M.SC.
Contact information
Practice address
4005 BROOKSIDE DR, TYLER, TX 75701-9425
(903) 939-3636
(930) 939-1687
Mailing address
4005 BROOKSIDE DR, TYLER, TX 75701-9425
(903) 939-3636
(930) 939-1687
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22596
TX
Other
Enumeration date
02/27/2007
Last updated
07/29/2025
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