Provider Demographics
NPI:1902533524
Name:GROUNDS, ROSS IRA (DDS)
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:IRA
Last Name:GROUNDS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12485 MONTEGO PLZ
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1723
Mailing Address - Country:US
Mailing Address - Phone:281-910-8492
Mailing Address - Fax:
Practice Address - Street 1:4407 LITTLE RD STE 600
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5626
Practice Address - Country:US
Practice Address - Phone:682-273-0025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX388091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice