Individual
DR. ROSS MICHAEL FLANNAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2005 SAINT CHARLES ST, SUITE #5, JASPER, IN 47546-2270
(812) 482-4321
(812) 634-6809
Mailing address
2005 SAINT CHARLES ST, SUITE #5, JASPER, IN 47546-2270
(812) 482-4321
(812) 634-6809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12012287A
LICENSE NUMBER
IN
01
—
12012287B
CSR NUMBER
IN
Enumeration date
06/17/2015
Last updated
03/07/2023
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