Individual
DR. MICHAEL L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
51 SOUTH ROAD, CADIZ, KY 42211-1747
(270) 522-3484
(270) 522-4662
Mailing address
51 SOUTH ROAD, PO BOX 1747, CADIZ, KY 42211-1747
(270) 522-3484
(270) 522-4662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KENTUCKY5297
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60052974
—
KY
Enumeration date
01/22/2007
Last updated
07/08/2007
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