DR. Reginald Randolph Ross, DDS
NPI #1477735249 in Springfield, Illinois
Provider Information
- NPI Number
- 1477735249
- Entity Type
- Individual
- Name
- DR. Reginald Randolph Ross, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Dec 3, 2007
- Last Updated
- Dec 3, 2007
Practice Location
- Address
- 1001 CLOCK TOWER DRIVE
- Address 2
- SUITE 3
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704
- Phone
- (217) 787-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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