Individual
DR. GABRIEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2001 2ND AVE STE 102, SUMMERVILLE, SC 29486-7887
(843) 876-8815
(843) 876-8783
Mailing address
2001 2ND AVE STE 102, SUMMERVILLE, SC 29486-7887
(843) 900-4490
(843) 501-9450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8574
SC
1223P0221X
Pediatric Dentistry
Primary
8574
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/15/2014
Last updated
01/28/2022
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