Individual
DR. TRACEY BUTLER ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1044 SCOTT ST, COVINGTON, KY 41011-3159
(859) 291-1818
(859) 291-6441
Mailing address
1044 SCOTT ST, COVINGTON, KY 41011-3159
(859) 291-1818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6627
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2446642
—
OH
05
—
45002664
—
KY
05
—
60001856
—
KY
Enumeration date
10/05/2006
Last updated
07/09/2007
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