# RONALD F ROSSER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063566172
- **Authorized official:** DR. RONALD FRANCIS ROSSER DDS (PRESIDENT)
- **Authorized official phone:** (406) 453-3159

## Contact information

- **Practice address:** 690 SW HIGGINS AVE, STE H, MISSOULA, MT 59803-1433
- **Practice address phone:** (406) 543-3159
- **Practice address fax:** (406) 543-3150
- **Mailing address:** 690 SW HIGGINS AVE, STE H, MISSOULA, MT 59803-1433
- **Mailing address phone:** (406) 543-3159
- **Mailing address fax:** (406) 543-3150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1851 | MT | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0113713 | — | MT |
| 01 | — | 5513015 | CHIP ACS | MT |