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

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.

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Practice location Address checks out

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