Individual
DR. TIMOTHY P GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
25 HOSPITAL CENTER BLVD, MEDICAL PAVILION STE. 102, HILTON HEAD ISLAND, SC 29926-2738
(843) 342-7700
(843) 342-7703
Mailing address
25 HOSPITAL CENTER BLVD, MEDICAL PAVILION STE.102, HILTON HEAD ISLAND, SC 29926-2738
(843) 342-7700
(843) 342-7703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD4552
SC
1223G0001X
General Practice Dentistry
DS-028129-L
PA
Other
Enumeration date
11/13/2006
Last updated
03/03/2010
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