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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