Stanley R. Ross in San Leandro - Periodontics

Stanley R. Ross - NPI 1639225386

Stanley R. Ross is a Periodontics in San Leandro, California. Stanley R. Ross practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stanley R. Ross is 1639225386. The last update date is 2007-07-08.

Stanley R. Ross's current location address is 299 Juana Ave Ste C, San Leandro, California. You can contact this provider via phone number 5103526266 and fax number 5103526392. The mailing address for Stanley R. Ross is 299 Juana Ave Ste C, San Leandro, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stanley R. Ross
Address 299 Juana Ave Ste C, San Leandro, California
Phone Number 5103526266
Fax Number 5103526392
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1639225386
Provider Enumeration Date 2007-01-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 299 Juana Ave Ste C
City San Leandro
State California (CA)
Post Code 945774838
Phone Number 5103526266
Fax Number 5103526392

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 21749
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Stanley R. Ross

What is the unique 10-digit identifier code assigned to Stanley R. Ross by the Centers for Medicare & Medicaid Services?

The Stanley R. Ross has been issued the NPI (National Provider Identifier) 1639225386 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Stanley R. Ross?

The Stanley R. Ross is situated at 299 Juana Ave Ste C, in the city of San Leandro, state of CA, with the zip code 945774838.

What is Stanley R. Ross's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stanley R. Ross's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639225386 to Stanley R. Ross?

The Centers for Medicare & Medicaid Services assigned the 1639225386 to Stanley R. Ross on 2007-01-26.

When was the information regarding Stanley R. Ross most recently updated?

The details pertaining to the Stanley R. Ross, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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