Individual
DR. NARISSA C ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1821 BELTLINE RD SW, DECATUR, AL 35601
(256) 801-0039
Mailing address
116 WALKING TRAIL WAY, MADISON, AL 35758-4818
(334) 412-2014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0006569-C1
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194256685
—
NY
Enumeration date
03/25/2017
Last updated
09/04/2018
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