Provider Demographics
NPI:1215056932
Name:ROSS, FRANK J (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:ROSS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14213 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4525
Mailing Address - Country:US
Mailing Address - Phone:216-226-6722
Mailing Address - Fax:216-226-0020
Practice Address - Street 1:14213 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4525
Practice Address - Country:US
Practice Address - Phone:216-226-6722
Practice Address - Fax:216-226-0020
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH158331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice