Organization
RICHARD R. GROSSMAN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R GROSSMAN D.D.S. (PRESIDENT)
(570) 283-0664
Entity
Organization
Contact information
Practice address
489 MARKET ST, KINGSTON, PA 18704-4534
(570) 283-0664
(570) 283-5623
Mailing address
489 MARKET ST, KINGSTON, PA 18704-4534
(570) 283-0664
(570) 283-5623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020564L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21749
UNITED CONCORDIA
PA
Enumeration date
12/19/2006
Last updated
08/22/2020
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