institution
R. Douglas Ross, Dds Pc
Dental Clinic/Center in Roanoke, Virginia
NPI 1124514203

R. Douglas Ross, Dds Pc is a Dental Clinic/Center based in Roanoke, VA and is specialized in Dental. R. Douglas Ross, Dds Pc practices in Roanoke, VA. The NPI Number for R. Douglas Ross, Dds Pc is 1124514203 and holds a License No. 0401007069 (Virginia).

The current practice location address for R. Douglas Ross, Dds Pc is 1602 Grandin Rd Sw, Roanoke, VA and can be reached out via phone at 540-344-9361 and via fax at 540-344-9377.

Location: 1602 Grandin Rd Sw, Roanoke, VA, 24015-2308
institution
Provider Profile Details
NPI Number
1124514203
Provider Name
R. Douglas Ross, Dds Pc
Credential
Provider Entity Type
Organization
Address
1602 Grandin Rd Sw, Roanoke, VA, 24015-2308
Phone Number
540-344-9361
Fax Number
540-344-9377
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922141811 01 VA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1602 Grandin Rd Sw
City
State
Zip
24015-2308
Phone Number
540-344-9361
Fax Number
540-344-9377
person
Provider Business Mailing Address Details
Address
1602 Grandin Rd Sw
City
State
Zip
24015-2308
Phone Number
540-344-9361
Fax Number
540-344-9377
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
0401007069 (Virginia)
Definition
Definition to come...
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