National Provider Identifier
Kelly S Rose, DDS
Kelly S Rose, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Buffalo, NY and a listed phone number of (716) 242-8200.
Profile Overview
- NPI
- 1932167145
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- May 04, 2006
- Last Updated
- January 11, 2012
Practice Location
- 1100 Main St
- Buffalo, NY 14209-2308
Phone: (716) 242-8200
Specialties
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1932167145
- Entity Type
- Individual
- Last Name
- Rose
- First Name
- Kelly
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 1100 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2308
- Mailing Country
- US
- Mailing Phone
- (716) 242-8200
- Practice Street Address
- 1100 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2308
- Practice Country
- US
- Practice Phone
- (716) 242-8200
- Enumeration Date
- May 04, 2006
- Last Updated
- January 11, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)
- Other Identifiers
- 03376083 (NY)