Grant Ross, DMD in Enterprise, AL - Medicare Dentist Provider

Grant Ross, DMD is a medicare enrolled "Dentist" provider in Enterprise, Alabama. His current practice location is 1100 Rucker Blvd Ste A1, Enterprise, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 347-5550.

Grant Ross is licensed to practice in Alabama (license number D.0006775-C1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770040735.

Contact Information

	Grant Ross, DMD
	1100 Rucker Blvd Ste A1, Enterprise, AL 36330-3623
	(334) 347-5550
	(334) 347-5551

Healthcare Provider's Profile

Full Name	Grant Ross
Gender	Male
Speciality	Dentist
Location	1100 Rucker Blvd Ste A1, Enterprise, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770040735
Provider Enumeration Date: 02/26/2019
Last Update Date: 06/16/2020

Medicare PECOS Information:

PECOS PAC ID: 6507280823
Enrollment ID: I20200721000199

Medical Identifiers

Medical identifiers for Grant Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770040735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN24882 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
122300000X	Dentist	D.0006775-C1 (Alabama)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grant Ross is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grant Ross, DMD 478 Mayberry Way, New Brockton, AL 36351-5527 Ph: (601) 503-3598	Grant Ross, DMD 1100 Rucker Blvd Ste A1, Enterprise, AL 36330-3623 Ph: (334) 347-5550

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Dentist in Enterprise, AL

Dr. Harutun Arthur Missirlian, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 E Pointe Ct, Enterprise, AL 36330 Phone: 334-347-3061 Fax: 334-347-1101
Dr. William Baxter Collier Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 442 Glover Ave, Enterprise, AL 36330 Phone: 334-347-5026 Fax: 334-347-0117
Dr. Solange Perez Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 E Pointe Ct, Enterprise, AL 36330 Phone: 334-347-3061
Dr. Brad Lomax Marsh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 412 Glover Ave, Enterprise, AL 36330 Phone: 334-347-6702
Dr. William Nicholas Turner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 736 E Lee St, Enterprise, AL 36330 Phone: 334-347-0096
Dr. Kanecia Tolbert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 623 Boll Weevil Cir Ste 1, Enterprise, AL 36330 Phone: 334-352-3777
Dr. Andrew J Mills, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 204 N Edwards St, Enterprise, AL 36330 Phone: 334-347-8538 Fax: 334-393-2316

Grant Ross, DMD - Medicare Dentist in Enterprise, AL