Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396002366 Individual Practitioner Female Practitioner

Dr. Stephanie Rose , DMD

Dentist - General Practice • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Rose, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tigard, OR. Practice services are available at 12625 SW 69TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12625 Sw 69th Ave

Tigard, OR 972238306

Telephone 5039689766
Fax 5039689768
Associated Practice Facility / Clinic
🏢 Jesse G Hayden Dmd Pc Facility NPI 1629463740

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Tigard, OR (1994 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

CMS Verified: 2020-02-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D9498

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

2 Associated Practitioners
Dr. Jesse Hayden , DMD

Dentist - General Practice

NPI 1568743789

Doctor of Dental Medicine

Dr. John Mccroskey , DDS

Dentist - General Practice

NPI 1821096058

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 12, 2020

Registered at 12625 SW 69TH AVE, TIGARD, OR 972238306 (Tel: 5039689766)

📍
Updated Business Mailing Address February 12, 2020

Registered at 12625 SW 69TH AVE, TIGARD, OR 972238306 (Tel: 5039689766)

NPI Profile Active April 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2012

Registered at 3460 LIBERTY RD S, SALEM, OR 973024607 (Tel: 5033712424)

📍
Updated Business Mailing Address April 16, 2012

Registered at 3460 LIBERTY RD S, SALEM, OR 973024607 (Tel: 5033712424)

👤
Provider Name / Credentials Updated April 16, 2012

Recorded as STEPHANIE ROSE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2012

Dentist (License #D9498 in OR)

🟢
Initial NPI Registration & Enumeration April 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Stephanie Rose. Be the first to share your experience!

Sign in to leave a review for Dr. Stephanie Rose

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396002366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2012
Last Update: February 12, 2020
Sole Proprietor: No

Mailing Address

12625 Sw 69th Ave

Tigard, OR 972238306

Phone: 5039689766

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.