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 |