Provider Demographics
NPI:1063404549
Name:KAPLAN, ROSS GEORGE (BDS,MSD)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:GEORGE
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:BDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 LIBERTY ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5159
Mailing Address - Country:US
Mailing Address - Phone:503-588-2404
Mailing Address - Fax:
Practice Address - Street 1:1790 LIBERTY ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5159
Practice Address - Country:US
Practice Address - Phone:503-588-2404
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR56011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics