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

Dr. Jerry Lee Rose, DDS

Individual provider Dentist · NPI 1356555684

Dr. Jerry Lee Rose, DDS is a Dentist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
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.

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Practice location Address checks out

8130 S Meridian St A4
Indianapolis, IN 46217-4986
Phone: (317) 888-3591
Fax: (317) 888-3592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence IN7172 (IN)

Record details

NPI number1356555684
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address8130 S Meridian St, A4, Indianapolis, IN 46217-4986

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