JASON PHILIP ROSS (NPI# 1548433808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548433808 |
| Entity Type | Individual |
| Full Name | JASON PHILIP ROSS |
| Credential | DDS |
| Practice Address |
4706 Banning Ave White Bear Lake MN 55110-3216 |
| Practice Telephone | 6514293348 |
| Practice Fax Number | 6514293945 |
| Mailing Telephone | 6514293348 |
| Mailing Fax Number | 6514293945 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10994 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1528300555 | Jason Robert Ross | Radiology | 1161 21st Ave S Ste Ccc 1108, Nashville, TN 37232-0709 | 2013-03-16 |
| 1982892683 | Jason Eric Ross | Counselor | 1030 S Federal Hwy Ste 123, Delray Beach, FL 33483-5194 | 2007-10-09 |
| 1124125091 | Jason W. Ross | Dentist | 10330 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87111-3600 | 2006-09-20 |
| 1346251410 | Jason R Ross | Chiropractor | 1620 W Lake St, Minneapolis, MN 55408 | 2006-08-11 |
| 1225058233 | Jason M Ross | Chiropractor | 1217 N. Monroe, Grand Rapids, MI 49503 | 2006-07-20 |
| 1295706570 | Jason J. Ross | Ophthalmology | 502 E New Haven Ave, Melbourne, FL 32901-5427 | 2006-01-27 |
| 1013541069 | Jason Porter Ross | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-02-28 |
| 1205496312 | Jason Yale Ross | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-20 |
| 1598228553 | Jason Frank Ross | Case Manager/Care Coordinator | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-04-08 |
| Street Address |
4706 BANNING AVE |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669585154 | Lakeshore Family Dentistry Pa | Dentist | 4706 Banning Ave, White Bear Lake, MN 55110 | 2006-08-17 |
| 1093988347 | Scott Arthur Kron | Dentist | 4706 Banning Ave, White Bear Lake, MN 55110-3216 | 2008-04-08 |
| 1447423702 | Sally Kay Darling | Dentist | 4706 Banning Ave, White Bear Lake, MN 55110-3216 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| 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 |
|---|---|---|---|---|
| 1720621451 | Isla Pllc | Dentist | 4754 Washington Sq, White Bear Lake, MN 55110-3257 | 2019-10-25 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1083853113 | Birch Lake Dental Pa | Dentist | 2641 White Bear Parkway, White Bear Lake, MN 55110 | 2009-02-12 |
| 1598822637 | Daniel Richard Isaacson | Dentist | 4700 White Bear Pkwy, White Bear Lake, MN 55110-3336 | 2007-01-01 |
| 1811057433 | Suzanne M Kappel Geib | Dentist | 2189 3rd St, White Bear Lake, MN 55110 | 2006-12-12 |
| 1518045756 | Robert John Marolt | Dentist | 955 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2006-11-02 |
| 1770692386 | Bruce L Neubauer | Dentist | 1430 Highway 96, White Bear Lake, MN 55110 | 2006-08-29 |
| 1225146855 | Stephen William Jaksa | Dentist | 4801 Highway 61 N, Suite 301, White Bear Lake, MN 55110-2737 | 2006-08-25 |
| 1669585154 | Lakeshore Family Dentistry Pa | Dentist | 4706 Banning Ave, White Bear Lake, MN 55110 | 2006-08-17 |
| 1073525184 | Charles Francis Kaminski Jr. | Dentist | 4754 Washington Square, White Bear Lake, MN 55110-3257 | 2006-08-13 |
| Find all providers in WHITE BEAR LAKE | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
Please comment or provide details below to improve the information on JASON PHILIP 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.