Organization
STEPHEN L GROSS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN LOUIS GROSS DDS (PRESIDENT)
(701) 223-8262
Entity
Organization
Contact information
Practice address
204 W THAYER AVE, SUITE B2, BISMARCK, ND 58501-3772
(701) 223-8262
(701) 223-0733
Mailing address
204 W THAYER AVE, SUITE B2, BISMARCK, ND 58501-3772
(701) 223-8262
(701) 223-0733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1742
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40999
—
ND
Enumeration date
02/26/2007
Last updated
08/22/2020
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