Dr. S Timothy Rose , DDS
Dentist - Periodontics • Appleton, WI
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. S Rose has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. S Rose, DDS was a registered Dentist - Periodontics practicing in Appleton, WI. Throughout an active medical career spanning 12 years, Dr. Rose provided care at the practice location at 2535 NORTHERN RD until profile deactivation on 2019-10-28.
Practice Location & Contact Primary Location
2535 Northern Rd
Appleton, WI 549148753
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Periodontics in Appleton, WI
Practicing in Appleton, WI (76 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223P0300X
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Periodontics
Doctor of Dental Surgery
Dentist - Periodontics
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 28, 2019
NPI status registered as active in NPPES database
Registered at 2535 NORTHERN RD, APPLETON, WI 549148753 (Tel: 9207313224)
Registered at 2535 NORTHERN RD, APPLETON, WI 549148753 (Tel: 9207313224)
Recorded as S ROSE, DDS
Dentist (License #943G in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2535 Northern Rd
Appleton, WI 549148753
Phone: 9207313224
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