Individual
DR. JOSHUA CLAYTON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 IRELAND RD, BAYBORO, NC 28515
(252) 745-4560
(252) 745-4862
Mailing address
PO BOX 489, BAYBORO, NC 28515
(252) 745-4560
(252) 745-4862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902GG
—
NC
Enumeration date
10/04/2006
Last updated
07/08/2007
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