Provider Demographics
NPI:1467547695
Name:DRS. COOMBS AND ROSS,LLC
Entity Type:Organization
Organization Name:DRS. COOMBS AND ROSS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:COOMBS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:803-324-5301
Mailing Address - Street 1:1144 INDIA HOOK RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2783
Mailing Address - Country:US
Mailing Address - Phone:803-324-5301
Mailing Address - Fax:803-324-4027
Practice Address - Street 1:1144 INDIA HOOK RD
Practice Address - Street 2:SUITE C
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2783
Practice Address - Country:US
Practice Address - Phone:803-324-5301
Practice Address - Fax:803-324-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty