Individual
DR. BRADLEY R ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
31 KING CHARLES DR, PORTSMOUTH, RI 02871-1365
(401) 293-5933
Mailing address
31 KING CHARLES DR, PORTSMOUTH, RI 02871-1365
(401) 293-5933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-026275
IL
1223E0200X
Endodontics
Primary
DEN03064
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019-026275
DENTIST
IL
Enumeration date
08/26/2005
Last updated
02/02/2010
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