# ROSS D SHIRA DDS INC.

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

## Provider details

- **NPI number:** 1649397985
- **Authorized official:** ROSS D. SHIRA (PRESIDENT)
- **Authorized official phone:** (937) 836-3117

## Contact information

- **Practice address:** 211 W NATIONAL RD, ENGLEWOOD, OH 45322-1437
- **Practice address phone:** (937) 836-3117
- **Practice address fax:** (937) 836-7174
- **Mailing address:** 211 W NATIONAL RD, ENGLEWOOD, OH 45322-1437
- **Mailing address phone:** (937) 836-3117
- **Mailing address fax:** (937) 836-7174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 17948 | OH | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020