| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW ROSS | 1811473515 | 2022-06-26 |
Matthew Ross is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811473515. Registration indicates Matthew Ross is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Dr. Matthew Ross DMD |
| Practice Office Address | 1925 COMMERCIAL ST SE SALEM, OR US |
| Practice Office Telephone | 5033636892 |
| Mailing Address | 1925 COMMERCIAL ST SE SALEM, OR 973025205 US |
| Business Telephone | 5033636892 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1457 S Carson St Ste 101 | Carson City, NV 897015240 | 7753729898 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 7076
NV |
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | D11606
OR |
| 193200000X MULT | Group Code |