Organization
DR TRACEY BUTLER ROSS, DMD, PLLC
Active
Other names
DR TRACEY BUTLER ROSS, DMD, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY BUTLER ROSS DMD (OWNER)
(859) 291-1818
Entity
Organization
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
(859) 291-6441
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
01/23/2007
Last updated
04/06/2011
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