Ronald F Rosser DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

1851 Issued in MT

Legal business name

RONALD F ROSSER DDS PC

Practice address

690 SW Higgins Ave
Ste H
Missoula, MT 59803-1433

Phone

(406) 543-3159

Fax

(406) 543-3150

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronald Francis Rosser, DDS

Title

President

Phone

(406) 453-3159

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063566172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 SW HIGGINS AVE",
            "address_2": "STE H",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031433",
            "telephone_number": "406-543-3159",
            "fax_number": "406-543-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SW HIGGINS AVE",
            "address_2": "STE H",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031433",
            "telephone_number": "406-543-3159",
            "fax_number": "406-543-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD F ROSSER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-453-3159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "1851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113713",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP ACS",
            "identifier": "5513015",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.