DR. JOHN WILLIAMS ROSS (NPI# 1114066396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114066396 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAMS ROSS |
| Credential | DDS |
| Practice Address |
3721 Olive Street Pine Bluff AR 71603 |
| Practice Telephone | 8705366917 |
| Practice Fax Number | 8705364404 |
| Mailing Telephone | 8705366917 |
| Mailing Fax Number | 8705364404 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1962 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356736854 | John Williams Ross | Family Medicine | 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042-7873 | 2015-04-01 |
| 1588943476 | John Nathan Ross | Acupuncturist | 285 Bank Street, # A, Wellfleet, MA 02667 | 2011-08-09 |
| 1366735193 | John P Ross | Social Worker | 105 Harvey Sanford Rd, Collins, MS 39428-4815 | 2011-05-26 |
| 1932428109 | John Alan Ross | Specialist/Technologist, Other | 9905 N Willow Ave, Kansas City, MO 64157-1046 | 2010-05-26 |
| 1063654366 | John Paul Ross | Community Health Worker | 8520 Heather Dr., Zephyrhills, FL 33540 | 2009-04-01 |
| 1174763072 | John Ross | Technician/Technologist | 520 Eagle Blvd, Kingsland, GA 31548-6569 | 2009-03-05 |
| 1245409085 | John Wayne Ross | Pathology | 11552 Big Canoe, 3017 Wild Turkey Bluff, Big Canoe, GA 30143-5114 | 2008-02-26 |
| 1659556223 | John Phillip Ross | Chiropractor | 13102 Liberty Ave, South Richmond Hill, NY 11419-3124 | 2008-01-02 |
| 1578757647 | John Michael Ross | Social Worker | 1900 Scio Church Rd, Ann Arbor, MI 48103-6059 | 2007-08-31 |
| 1023145356 | John E. Ross IIi | Dentist | 602 College Ave Ste 1, Clemson, SC 29631-2823 | 2007-02-27 |
| Street Address |
3721 OLIVE STREET |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1598217069 | Adetola Adeniyi | Dentist | 2801 S Olive St Ste 36c, Pine Bluff, AR 71603-5413 | 2016-10-31 |
| 1013119676 | Charles Garrett Taylor II | Dentist | 3721 S Olive St, Pine Bluff, AR 71603-6756 | 2007-06-04 |
| 1275695207 | Richard Smith | Dentist | 11 Chapel Village Shopping Center, Pine Bluff, AR 71603 | 2006-12-15 |
| 1477630341 | J. Greg Temple | Dentist | 2508 S Cherry St, Pine Bluff, AR 71601-6446 | 2006-10-31 |
| 1104908128 | William T Shepherd | Dentist | 1242 W 42nd Ave, Pine Bluff, AR 71603-7109 | 2006-10-19 |
| 1194839340 | Maxwell U Fleming Jr. | Dentist | 3721 S Olive, Ste B, Pine Bluff, AR 71603 | 2006-08-17 |
| 1164432340 | Michael D Clark | Dentist | 1616 S Cherry St, Pine Bluff, AR 71601-6227 | 2006-08-09 |
| 1962420067 | Ray E Colclasure | Dentist | 550 W 46th Ave, Pine Bluff, AR 71603-7134 | 2006-07-17 |
| 1770565921 | Kim Kosmitis | Dentist | 1406 W 42nd Ave, Pine Bluff, AR 71603-7003 | 2005-11-15 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on DR. JOHN WILLIAMS ROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.