| Organization Name: | JOHN E. ROSS, III, DMD |
| NPI Number: | 1063645729 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY FRANCES ROSS (DENTIST) |
| Mailing Address: | 602 College Ave Ste 1 Clemson |
| State: | SC US |
| Postal Code: | 296312823 |
| Phone Number: | 8646544882 |
| Fax Number: | 8646540139 |
| NPI Enumeration Date: | 08/28/2009 |
| NPI Last Update Date: | 08/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |