Individual
TYSON CRAIG GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
691 E EMPIRE ST, CORTEZ, CO 81321-2802
(970) 565-7946
(970) 565-9005
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2238
(970) 335-2348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10854655-9922
UT
122300000X
Dentist
Primary
DEN.00203984
CO
Other
Enumeration date
09/21/2018
Last updated
02/09/2026
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