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General NPI Number Information
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NPI Number | 1568539062
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Entity Type | Organization
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Legal Business Name | ROBERT R ROSS DDS PSC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6961 BURLINGTON PIKE
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City | FLORENCE
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State | KY
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Zip | 41042
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Country | US
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Telephone | 859-371-4422
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Fax | 859-282-5482
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Provider Business Mailing Address
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Address Line | 6961 BURLINGTON PIKE
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City | FLORENCE
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State | KY
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Zip | 41042
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Country | US
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Telephone | 859-371-4422
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Fax | 859-282-5482
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. ROBERT R ROSS
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Credential | DDS
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Telephone | 859-371-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4661
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8183
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6085
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License Number State | KY
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