Reginald Randolph Ross, DDS

Dentist · Springfield, IL

Individual Active NPI

NPI number 1477735249

Practice location

1001 Clock Tower Drive
Suite 3
Springfield, IL 62704
Phone
(217) 787-2400
Fax
(217) 787-2442

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NPI record

NPI
1477735249
Entity type
Individual (Type 1)
Enumeration date
December 3, 2007
Last updated
December 3, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DEAAR8762519 IL

About Dr. Ross

Reginald Randolph Ross, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1001 Clock Tower Drive, Suite 3, Springfield, IL 62704. The NPI number 1477735249 was assigned on December 3, 2007 and the record was last updated on December 3, 2007.

Dr. Ross lists a license in the registry: #DEAAR8762519 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Reginald Randolph Ross, DDS?

The NPI number is 1477735249.

What is the phone number of Dr. Ross?

The phone number listed for the practice location is (217) 787-2400.

Where is Dr. Ross located?

1001 Clock Tower Drive, Suite 3, Springfield, IL 62704.

What is the taxonomy code for Dr. Ross?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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