Individual
DR. RICHARD REID GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
489 MARKET ST, KINGSTON, PA 18704-4534
(570) 283-0664
(570) 283-5623
Mailing address
489 MARKET ST, KINGSTON, PA 18704-4534
(570) 283-0664
(570) 283-5623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020564L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005204860002
—
PA
Enumeration date
07/05/2006
Last updated
03/27/2019
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