Healthcare Provider Details

I. General information

NPI: 1003882424
Provider Name (Legal Business Name): DENNIS WARREN ROSS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SILAS CREEK PKWY
WINSTON-SALEM NC
27103-3013
US

IV. Provider business mailing address

753 JOHNNIE DODDS BLVD
MT PLEASANT SC
29464-3054
US

V. Phone/Fax

Practice location:
  • Phone: 336-718-3737
  • Fax: 336-718-9545
Mailing address:
  • Phone: 843-284-3400
  • Fax: 843-284-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number22509
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number22509
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: