MEDICARE: DR. KAMI L ROSS DDS

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	1223G0001X	General Practice Dentistry	60119	KS

General Provider Information

NPI Number	:	1386732071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMI L ROSS DDS

Provider Business Mailing Address
First Line	:	6700 W 121ST ST STE 104
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66209-2028
Country	:	US
Telephone Number	:	913-851-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 W 121ST ST STE 104
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66209-2028
Country	:	US
Telephone Number	:	913-851-8400
Fax Number	:

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	10/05/2020

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