NPI 1144538745

Ellen Ross, DDS

Practitioner Dentist Bridgeport, WV

Practice location

Address: 1160 Johnson Ave Suite 104, Bridgeport, WV 26330-1487
Phone: (304) 842-2361

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3902 (WV)

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Registry record

NPI: 1144538745
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2010
Record last updated: 16 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.