OrganizationActive
Dr Kenneth E Ross, DMD, Msd, PA
NPI 1376688473 · Periodontics · Lighthouse Point, FL
Provider details
- NPI number
- 1376688473
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Ross, Periodontist(954) 941-2277
- License
- DN 0013427 (FL)
Specialties & taxonomies
Dental Providers
Practice location
2211 Ne 36th St
Ste. 103
Lighthouse Point, FL 33064-7577
Phone: (954) 941-2277
Fax: (954) 785-5034
Approximate (ZIP-level) locationGet directions
Mailing address
2211 Ne 36th St
Lighthouse Point, FL 33064-7577
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.