Provider Demographics
NPI:1881792273
Name:GALE, ROSS FINLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:FINLEY
Last Name:GALE
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 1:4248 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24078-1935
Mailing Address - Country:US
Mailing Address - Phone:276-647-1015
Mailing Address - Fax:276-647-9205
Practice Address - Street 1:4248 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24078-1935
Practice Address - Country:US
Practice Address - Phone:276-647-1015
Practice Address - Fax:276-647-9205
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010040881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice