KENDON ROSS (NPI# 1972531325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972531325 |
Entity Type | Individual |
Full Name | KENDON ROSS |
Credential | D.D.S. |
Practice Address |
10229a Clemson Blvd Seneca SC 29678-0817 |
Mailing Address |
129 Sikes Ave Clemson SC 29631-2154 |
Practice Telephone | 8648820620 |
Mailing Telephone | 8648820620 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2015-06-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
3286 | SC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | ZX3286 | 05 | |
SC | ZA9728 | 05 |
Street Address |
10229A CLEMSON BLVD |
City | SENECA |
State | SC |
Zip Code | 29678-0817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275578791 | Malia Fredrickson | Dentist | 10229a Clemson Blvd, Seneca, SC 29678-0817 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
Find all providers in zip 29678 |
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 |
---|---|---|---|---|
1003034026 | World Class Dentistry, Inc. | Dentist | Bypass 123, Suite 302, Seneca, SC 29678 | 2007-04-23 |
1720204373 | Craig Alexander Horton | Dentist | 519 Ivy Spring Ct, Seneca, SC 29678-5750 | 2007-04-18 |
1285790287 | Duane Scott Moore | Dentist | 112 North Oak St, Seneca, SC 29678 | 2006-12-28 |
1063573889 | James P Woolf | Dentist | 3178 State Route 257, Seneca, PA 16346-0804 | 2006-12-13 |
1558432146 | Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa | Dentist | 10229 Clemson Blvd # A, Seneca, SC 29678-0817 | 2006-11-13 |
1245328608 | Jason Eugene Showman | Dentist | 911 Justianna St, Seneca, KS 66538-1443 | 2006-10-11 |
1679668628 | Seneca Dental Clinic, Inc. | Dentist | 509 Nemaha St, Seneca, KS 66538-1758 | 2006-10-04 |
1073621637 | David W Somers | Dentist | 3605 State Route 257, Seneca, PA 16346-0227 | 2006-08-25 |
1861417743 | Keowee Family Dentistry | Dentist | 241 Stork Way, Seneca, SC 29678-1039 | 2006-07-13 |
1275578791 | Malia Fredrickson | Dentist | 10229a Clemson Blvd, Seneca, SC 29678-0817 | 2006-06-18 |
Find all providers in SENECA |
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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.