Grant Ross, DMD

Dentist · Enterprise, AL

Individual Active NPI

NPI number 1770040735

Practice location

1100 Rucker Blvd Ste a1
Enterprise, AL 36330-3623
Phone
(334) 347-5550
Fax
(334) 347-5551

Open in Google Maps

NPI record

NPI
1770040735
Entity type
Individual (Type 1)
Enumeration date
February 26, 2019
Last updated
June 16, 2020
Certified
June 16, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D.0006775-C1 AL
Dentist 122300000X DN24882 FL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

478 Mayberry Way
New Brockton, AL 36351-5527
Phone
(601) 503-3598

Other practice locations (1)

  • 151 Westchester Hall, Stony Brook, NY 11794-0001 · (631) 444-2557

About Dr. Ross

Grant Ross, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1100 Rucker Blvd Ste a1, Enterprise, AL 36330-3623. The NPI number 1770040735 was assigned on February 26, 2019 and the record was last updated on June 16, 2020.

Dr. Ross lists 2 licenses in the registry: #D.0006775-C1 (AL) for Dentist; #DN24882 (FL) 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 Grant Ross, DMD?

The NPI number is 1770040735.

What is the phone number of Dr. Ross?

The phone number listed for the practice location is (334) 347-5550.

Where is Dr. Ross located?

1100 Rucker Blvd Ste a1, Enterprise, AL 36330-3623.

What is the taxonomy code for Dr. Ross?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

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.

Other Dentist providers in Enterprise

All Dentist providers in Enterprise, AL →