| Dr Tracey Butler Ross, Dmd, Pllc | |
|
1044 Scott St Covington KY 41011-3159 | |
| (859) 291-1818 | |
| (859) 291-6441 |
| Full Name | Dr Tracey Butler Ross, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1044 Scott St, Covington, Kentucky |
| Authorized Official Name and Position | Tracey Butler Ross (OWNER) |
| Authorized Official Contact | 8592911818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracey Butler Ross, Dmd, Pllc 1044 Scott St Covington KY 41011-3159 Ph: (859) 291-1818 | Dr Tracey Butler Ross, Dmd, Pllc 1044 Scott St Covington KY 41011-3159 Ph: (859) 291-1818 |
| NPI Number | 1407901457 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407901457 | NPI | - | NPPES |
| 2446642 | Medicaid | OH | |
| 45002664 | Medicaid | KY | |
| 60001856 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6627 (Kentucky) | Primary |
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