Allan C Ross, DDS
Individual provider Active NPI Dentist · Sabetha, KS
NPI 1194739581 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194739581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6188 (KS)
- Practice address
- 502 S Washington Ave
Sabetha, KS 66534-2625 - Phone
- (785) 284-3010
- Fax
- (785) 284-3136
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6188 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6188 | KS | Yes |
Addresses
Primary practice location
502 S Washington Ave
Sabetha, KS 66534-2625
Mailing address
502 S Washington Ave
Sabetha, KS 66534-2625
Phone (785) 284-3010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008805 | Other | KS | BCBS |
Other providers in Sabetha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.