Dr. Paul Todd Rose
Pediatric Dentist
220 Ragland Rd
Beckley
, West Virginia 25801-9721
Dr. Paul Todd Rose
Pediatric Dentist
220 Ragland Rd
Beckley
, West Virginia 25801-9721
(304) 252-1890
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Paul Todd Rose
- 4350 Grandview Rd
- Beaver, WV
- Zip : 25813-9107
- Fax : (304) 252-1890
- Phone : (304) 252-0472
Second Address
- Dr. Paul Todd Rose
- 220 Ragland Rd
- Beckley, WV
- Zip : 25801-9721
- Fax : (304) 252-1890
- Phone : (304) 252-0472
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | WV 3040 | WV |
National Provider Identifier
| NPI | 1053353334 |
|---|---|
| Provider Name | Dr. Paul Todd Rose |
| First Address | Beaver, WV 25813-9107 |
| Second Address | Beckley, WV 25801-9721 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0133045001 | (05) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.