# ROSS DENTAL STUDIO PLLC

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

## Provider details

- **NPI number:** 1710621305
- **Authorized official:** DR. JATERRA DOMINIQUE ROSS DMD (OWNER)
- **Authorized official phone:** (847) 404-7029

## Contact information

- **Practice address:** 2111 E UNIVERSITY DR, PROSPER, TX 75078-7240
- **Practice address phone:** (214) 225-2358
- **Practice address fax:** (469) 881-8258
- **Mailing address:** 608 MEANDERING TRL, LITTLE ELM, TX 75068-4835
- **Mailing address phone:** (847) 404-7029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2022
- **Last updated:** 04/21/2022