Ross Dental Clinic P.c.

NPI #1316153588 in Morton, Mississippi

Provider Information

NPI Number: 1316153588
Entity Type: Organization
Organization Name: Ross Dental Clinic P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 233 WOODLAND ST
City: Morton
State: Mississippi
ZIP Code: 39117-3711
Phone: (601) 732-6200

Authorized Official

Name: DR. JAMIE EICHELBERGER ROSS, D.M.D.
Title: PRESIDENT
Phone: (601) 732-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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