DR. TRACEY BUTLER ROSS DMD NPI 1053407965

NPI Information

  • NPI: 1053407965
  • Provider Name: DR. TRACEY BUTLER ROSS, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1044 SCOTT ST
    COVINGTON, KY
    ZIP 41011
  • Phone: (859) 291-1818

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NPI Details

DR. Tracey Butler Ross, DMD is a general practice dentist in Covington, KY. The provider is 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. DR. Tracey Butler Ross, DMD NPI is 1053407965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1044 SCOTT ST
COVINGTON, KY
ZIP 41011-159
Phone: (859) 291-1818
Fax: (859) 291-6441

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6627KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12446642MEDICAIDOHIO
245002664MEDICAIDKENTUCKY
360001856MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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