Provider Demographics
NPI:1497849202
Name:ROSS, WILLIAM FENTON III (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FENTON
Last Name:ROSS
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1144 INDIA HOOK RD STE C
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2400
Mailing Address - Country:US
Mailing Address - Phone:803-324-5301
Mailing Address - Fax:803-324-4027
Practice Address - Street 1:1144 INDIA HOOK RD STE C
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2400
Practice Address - Country:US
Practice Address - Phone:803-324-5301
Practice Address - Fax:803-324-4027
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC31361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice