Individual
DR. ANDREW JACOB GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10858402-8903
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10858402-9925
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11022
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1859764
MA
Other
Enumeration date
08/07/2018
Last updated
12/10/2024
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