# DR TRACEY BUTLER ROSS, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DR TRACEY BUTLER ROSS, DMD, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407901457
- **Authorized official:** DR. TRACEY BUTLER ROSS DMD (OWNER)
- **Authorized official phone:** (859) 291-1818

## Contact information

- **Practice address:** 1044 SCOTT ST, COVINGTON, KY 41011-3159
- **Practice address phone:** (859) 291-1818
- **Practice address fax:** (859) 291-6441
- **Mailing address:** 1044 SCOTT ST, COVINGTON, KY 41011-3159
- **Mailing address phone:** (859) 291-1818
- **Mailing address fax:** (859) 291-6441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6627 | KY | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 04/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2446642 | — | OH |
| 05 | — | 45002664 | — | KY |
| 05 | — | 60001856 | — | KY |