W Brian Ross DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

W BRIAN ROSS DDS PC

Practice address

1400 N Western Ave
Lake Forest, IL 60045-5404

Phone

(847) 234-8608

NPI assigned

Apr 4, 2025

Last updated

Apr 4, 2025By 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

William Brian RossNPI 1073849493

Title

Owner

Phone

(847) 234-8608

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• William Brian Ross, DDS

  • Dentist
  • Lake Forest, IL
  • NPI 1073849493
  NPD Authorized official
• Robert T Durrett, DDS

  • Dentist
  • Lake Forest, IL
  • NPI 1962526103
  NPD (past)

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1871397034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600455404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600455404",
            "telephone_number": "847-234-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BRIAN ROSS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-234-8608"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Keene Viscomi, PSYD, BCBA
• Kathryn Vitale, MSN, APN, AGCNS-BC
• Katherine Lynn Voigt, PA-C
• Halle Cecilia Voos, MA, CCC-SLP
• Marianne P. Vuckovich, R.K.T.
• Jamie Brenna Wabich, M.D.
• Donna Wagner, CCC-SLP
• Edye Lynn Wagner, RD, LDN
• Walgreen Co (Walgreens #21143)
• Walgreen Co (Walgreens #00528)

• Dental Clinic/Center in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.