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Deactivated NPI 1386732063 Deactivated / Inactive NPI Male Practitioner

Dr. Michael C Ross , DDS

Dentist - General Practice • Beavercreek, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Ross has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date July 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ross, DDS was a registered Dentist - General Practice practicing in Beavercreek, OH. Throughout an active medical career spanning 14 years, Dr. Ross provided care at the practice location at 4049 DAYTON XENIA RD until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

4049 Dayton Xenia Rd
Suite 200

Beavercreek, OH 454321992

Telephone 9374293880
Fax 9374580020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beavercreek, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Beavercreek, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 15327

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mathew Thomas

Dentist - General Practice

NPI 1326896614

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active April 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2009

Registered at 4049 DAYTON XENIA RD, SUITE 200, BEAVERCREEK, OH 454321992 (Tel: 9374293880)

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Updated Business Mailing Address April 02, 2009

Registered at 4049 DAYTON XENIA RD, SUITE 200, BEAVERCREEK, OH 454321992 (Tel: 9374293880)

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Provider Name / Credentials Updated April 02, 2009

Recorded as MICHAEL ROSS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2009

Dentist (License #15327 in OH)

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Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386732063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: April 02, 2009
Deactivation Date: July 17, 2020

Mailing Address

4049 Dayton Xenia Rd, Suite 200

Beavercreek, OH 454321992

Phone: 9374293880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.