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

Dr. Gregg Lee Rose, DDS

Individual provider Pediatric Dentistry · NPI 1730243171

Dr. Gregg Lee Rose, DDS is a Pediatric Dentistry in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1715 Broadmoor Dr Ste B
Champaign, IL 61821-5983
Phone: (217) 352-7337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 021.001507019.021040 (IL)

Record details

NPI number1730243171
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1715 Broadmoor Dr, Suite B, Champaign, IL 61821-5983