Provider Demographics
NPI:1831380211
Name:JAMES C. ROSS, DDS, PC
Entity type:Organization
Organization Name:JAMES C. ROSS, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-347-5959
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901013573122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty