Ross, Reginald Randolph
Ross, Reginald Randolph is an sole proprietor health care provider with primary practice located at 1001 Clock Tower Drive Suite 3, Springfield IL 62704. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ross, Reginald Randolph can be contacted via phone (217) 787-2400.Contact Information
Primary practice address
1001 Clock Tower Drive Suite 3
Springfield IL 62704
Phone: (217) 787-2400
Fax: (217) 787-2442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DEAAR8762519 | Illinois |
Profile Details
| NPI number | 1477735249 |
|---|---|
| LBN Legal business name | Ross, Reginald Randolph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Dec 3rd, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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