Provider Demographics
NPI:1225465289
Name:ROSS, JAMES C (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:ROSS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23975 NOVI RD
Mailing Address - Street 2:SUITE A-104
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2459
Mailing Address - Country:US
Mailing Address - Phone:248-347-5959
Mailing Address - Fax:248-347-3647
Practice Address - Street 1:23975 NOVI RD
Practice Address - Street 2:SUITE A-104
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2459
Practice Address - Country:US
Practice Address - Phone:248-347-5959
Practice Address - Fax:248-347-3647
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI13573122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist