Provider Demographics
NPI:1619966074
Name:BELLINGHIERE, ROSS LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:LOUIS
Last Name:BELLINGHIERE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S 42ND ST
Mailing Address - Street 2:310
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2939
Mailing Address - Country:US
Mailing Address - Phone:402-345-7800
Mailing Address - Fax:402-345-7508
Practice Address - Street 1:1941 S 42ND ST
Practice Address - Street 2:310
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2939
Practice Address - Country:US
Practice Address - Phone:402-345-7800
Practice Address - Fax:402-345-7508
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4672122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist