Individual
DR. DAVID FOX GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
208 S JACKSON ST, KINGSTREE, SC 29556-3916
(843) 355-7606
(843) 355-7606
Mailing address
208 S JACKSON ST, KINGSTREE, SC 29556-3916
(843) 355-7606
(843) 355-7606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1932
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z19329
—
SC
Enumeration date
07/19/2006
Last updated
07/08/2007
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