Provider Demographics
NPI:1386732071
Name:ROSS, KAMI L (DDS)
Entity type:Individual
Prefix:DR
First Name:KAMI
Middle Name:L
Last Name:ROSS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 W 121ST ST STE 104
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2028
Mailing Address - Country:US
Mailing Address - Phone:913-851-8400
Mailing Address - Fax:
Practice Address - Street 1:6700 W 121ST ST STE 104
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-2028
Practice Address - Country:US
Practice Address - Phone:913-851-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS601191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice