Gaylan K. Ross D.M.D., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS018712L Issued in PA

Legal business name

GAYLAN K. ROSS D.M.D., PC

Practice address

1290 Mansfield Ave
Indiana, PA 15701-2340

Phone

(724) 349-5660

Fax

(724) 349-5661

NPI assigned

Sep 27, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gaylan Keith Ross, D.M.D.NPI 1558468652

Title

Dentist

Phone

(724) 349-5660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gaylan Keith Ross, D.M.D.

  • General Practice Dentistry
  • Indiana, PA
  • NPI 1558468652
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407947344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 MANSFIELD AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012340",
            "telephone_number": "724-349-5660",
            "fax_number": "724-349-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 MANSFIELD AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012340",
            "telephone_number": "724-349-5660",
            "fax_number": "724-349-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLAN K. ROSS D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GAYLAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "724-349-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018712L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurie Ann Gauntner, BS
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• Tracy Jo Gemmell, MD
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• Donald George, P.A.

• General Practice Dentistry in Indiana, PA
• Providers in Indiana, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.