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Deactivated NPI 1427052471 Deactivated / Inactive NPI Male Practitioner

Dr. Clifford Scott Rose , DDS

Dentist - General Practice • Baldwin, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clifford Rose has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2005
NPI Deactivation Date January 03, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Clifford Rose, DDS was a registered Dentist - General Practice practicing in Baldwin, MI. Throughout an active medical career spanning 14 years, Dr. Rose provided care at the practice location at 1615 MICHIGAN AVE until profile deactivation on 2019-01-03.

Practice Location & Contact Primary Location

Practice Address

1615 Michigan Ave

Baldwin, MI 493047984

Telephone 2317452736
Fax 2317453690
Associated Practice Facility / Clinic
🏢 Baldwin Family Health Care Facility NPI 1689783698

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baldwin, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Baldwin, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI M10255

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1083819510

Doctor of Dental Surgery

Dr. Andrew Mintzer , DDS

Dentist - General Practice

NPI 1275081820

Doctor of Dental Surgery

NPI 1306218870

Registered Dental Hygienist

Dr. Sasha-Gay Mcbride , DDS

Dentist - General Practice

NPI 1306408695

Doctor of Dental Surgery

Dr. Oliver Grin , MD

Neurological Surgery

NPI 1376559724

Doctor of Medicine (M.D.)

Dr. Karen Rhodes , DO

Family Medicine

NPI 1447399027

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 03, 2019

Record deactivated on January 03, 2019

NPI Profile Active March 11, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2014

Registered at 1615 MICHIGAN AVE, BALDWIN, MI 493047984 (Tel: 2317452736)

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Updated Business Mailing Address March 11, 2014

Registered at 1615 MICHIGAN AVE, BALDWIN, MI 493047984 (Tel: 2317452736)

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Provider Name / Credentials Updated March 11, 2014

Recorded as CLIFFORD ROSE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2014

Dentist (License #M10255 in MI)

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Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427052471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2005
Last Update: March 11, 2014
Deactivation Date: January 03, 2019

Mailing Address

1615 Michigan Ave

Baldwin, MI 493047984

Phone: 2317452736

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.