Organization
DANIEL GROSSMAN, DDS, PA
Active
Other names
Grossman Orthodontics, Raleigh Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E GROSSMAN DDS (PRESIDENT)
(919) 919-8476
Entity
Organization
Contact information
Practice address
8200 CREEDMOOR RD, RALEIGH, NC 27613-1371
(919) 847-6364
Mailing address
1444 TACKETTS POND DR, RALEIGH, NC 27614-7637
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9440
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073585915
INDIVIDUAL NPI
—
Enumeration date
01/22/2015
Last updated
03/11/2019
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