MEDICARE: DR. BENJAMIN ROSS RECORD D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5502	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568410314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN ROSS RECORD D.D.S.

Provider Business Mailing Address
First Line	:	15110 WAX RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-5423
Country	:	US
Telephone Number	:	225-261-1580
Fax Number	:

Provider Business Practice Location Address
First Line	:	15110 WAX RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-5423
Country	:	US
Telephone Number	:	225-261-1580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	02/11/2025

Similar Medicare Providers

1912711540 — BENJAMIN ROSS RECORD DDS, APDC
Practice Location Address:

15110 WAX RD
BATON ROUGE, LA
70818-5423

Practice Phone: 225-261-1580
Practice Fax: 225-261-4065

1396174173 — MRS. DENISE MARIE BRASSEAUX PT
Practice Location Address:

5423 HIDDEN RIDGE LN
BATON ROUGE, LA
70816-6359

Practice Phone: 225-772-3527
Practice Fax:

1316525058 — PRESTON W MALL MD
Practice Location Address:

439 WOODGATE BLVD
BATON ROUGE, LA
70808-5423

Practice Phone: 225-978-9733
Practice Fax:

1841901170 — SHANTELL JEANETTE JOHNSON
Practice Location Address:

5423 ESSEN LN APT 5
BATON ROUGE, LA
70809-3549

Practice Phone: 225-937-8170
Practice Fax:

1235097965 — JOSEPH ZURIEL DAVIS PSY.D
Practice Location Address:

10510 JOOR RD
BATON ROUGE, LA
70818-3900

Practice Phone: 225-960-2403
Practice Fax:

1760349666 — MAKENNA CHEYENNE SPURGEON
Practice Location Address:

10510 JOOR RD
BATON ROUGE, LA
70818-3900

Practice Phone: 225-960-2403
Practice Fax:

Directions to “ DR. BENJAMIN ROSS RECORD D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.