Individual
DR. RYAN LEE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
497 E US HIGHWAY 40, BRAZIL, IN 47834-7745
(812) 443-2541
(812) 446-1045
Mailing address
497 E US HIGHWAY 40, BRAZIL, IN 47834-7745
(812) 443-2541
(812) 446-1045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009777
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200180690
—
IN
Enumeration date
01/05/2006
Last updated
06/02/2024
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