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Organization
DR. TIMOTHY GROSS' DENTAL EXCELLENCE LLC
Active
Organization
DR. TIMOTHY GROSS' DENTAL EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PAUL GROSS D.M.D. (OWNER/DOCTOR)
(843) 342-7700
Entity
Organization
Contact information
Practice address
15 BOW CIR, SUITE 104, HILTON HEAD ISLAND, SC 29928-3211
(843) 342-7700
(843) 785-7804
Mailing address
15 BOW CIRCLE, SUITE 104, HILTON HEAD ISLAND, SC 29928-3211
(843) 342-7700
(843) 785-7804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD4552
SC
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/01/2016
Last updated
09/12/2016
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