Charles Albert Ross, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8800 Issued in GA

Practice address

3706 Mercer University Drive
Suite 7 Mission Square
Macon, GA 31204

Phone

(478) 474-2557

Fax

(478) 474-3120

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225156102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 MERCER UNIVERSITY DRIVE",
            "address_2": "SUITE 7 MISSION SQUARE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-474-2557",
            "fax_number": "478-474-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 MERCER UNIVERSITY DRIVE",
            "address_2": "SUITE 7 MISSION SQUARE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-474-2557",
            "fax_number": "478-474-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CHARLES",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Warren Rosas, LCSW
• Robert Harris Rosengart, MD
• Winfred C Roshell
• Allison Renee Ross, PHARMD
• Brian J. Ross, P.T., ATC
• Danielle Lamar Ross, LPC
• Kanesha Theresa Ross, PMHNP
• Rossana Y Carter, MD, LLC
• Rhonda Lynn Rountree, NP-C
• Sharon Rouse, NP

• General Practice Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.