# GAYLAN K. ROSS D.M.D., PC

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

## Provider details

- **NPI number:** 1407947344
- **Authorized official:** DR. GAYLAN KEITH ROSS D.M.D. (DENTIST)
- **Authorized official phone:** (724) 349-5660

## Contact information

- **Practice address:** 1290 MANSFIELD AVE, INDIANA, PA 15701-2340
- **Practice address phone:** (724) 349-5660
- **Practice address fax:** (724) 349-5661
- **Mailing address:** 1290 MANSFIELD AVE, INDIANA, PA 15701-2340
- **Mailing address phone:** (724) 349-5660
- **Mailing address fax:** (724) 349-5661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS018712L | PA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 07/21/2022