Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alicia Anne Rose, DMD

Individual provider General Practice Dentistry · NPI 1225259104

Dr. Alicia Anne Rose, DMD is a General Practice Dentistry in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

350 W Woodrow Wilson Ave Jackson Medical Mall Ste 3516
Jackson, MS 39213-7681
Phone: (601) 987-5566
Fax: (601) 987-5595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3196-01 (MS)

Record details

NPI number1225259104
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007

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