Individual
DR. I. SCOTT GROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1324 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-1855
(330) 385-6564
(740) 264-5714
Mailing address
1324 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-1855
(330) 385-6564
(740) 264-5714
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15651
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0604233
—
OH
Enumeration date
09/26/2006
Last updated
07/09/2007
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