Organization
ROSS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ALLEN ROSS DDS (DENTIST)
(734) 395-2733
Entity
Organization
Contact information
Practice address
170 WAMPLERS LAKE RD, BROOKLYN, MI 49230-9585
(517) 592-3003
(517) 592-5785
Mailing address
170 WAMPLERS LAKE RD, BROOKLYN, MI 49230-9585
(517) 592-3003
(517) 592-5785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801389499
—
MI
Enumeration date
09/10/2024
Last updated
09/10/2024
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