NPI 1245356245

Enoch Nathan Ross, DDS

Practitioner Dentist Eagle River, AK

Practice location

Address: 12641 Old Glenn Hwy Suite 104, Eagle River, AK 99577-7039
Phone: (907) 622-7874
Fax: (907) 622-7876
Mailing address: PO Box 112452, Anchorage, AK 99511-2452

Registered specialties (3)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 1189 (AK)

Other Dentist providers in Alaska →

Dentist

Dental Providers Taxonomy 122300000X Licence 8665 (OR)

Dentist

Dental Providers Taxonomy 122300000X Licence DE00011127 (WA)

Registry record

NPI: 1245356245
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 7 Mar 2017

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.