| Dr Kenneth E Ross, Dmd, Msd, Pa | |
|
2211 Ne 36th St Ste. 103 Lighthouse Point FL 33064-7577 | |
| (954) 941-2277 | |
| (954) 785-5034 |
| Full Name | Dr Kenneth E Ross, Dmd, Msd, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2211 Ne 36th St, Lighthouse Point, Florida |
| Authorized Official Name and Position | Kenneth E. Ross (PERIODONTIST) |
| Authorized Official Contact | 9549412277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth E Ross, Dmd, Msd, Pa 2211 Ne 36th St Ste. 103 Lighthouse Point FL 33064-7577 Ph: (954) 941-2277 | Dr Kenneth E Ross, Dmd, Msd, Pa 2211 Ne 36th St Ste. 103 Lighthouse Point FL 33064-7577 Ph: (954) 941-2277 |
| NPI Number | 1376688473 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376688473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN 0013427 (Florida) | Primary |
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