Tyson Gary Bross is a Dentist in Annapolis, Maryland. Tyson Gary Bross practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tyson Gary Bross is 1114195112. The last update date is 2016-04-13.
Tyson Gary Bross's current location address is 129 Lubrano Dr, Annapolis, Maryland. You can contact this provider via phone number 4102240018 and fax number 4102244214. The mailing address for Tyson Gary Bross is 129 Lubrano Dr, Annapolis, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyson Gary Bross |
|---|---|
| Address | 129 Lubrano Dr, Annapolis, Maryland |
| Phone Number | 4102240018 |
| Fax Number | 4102244214 |
| Sole Proprietor | N |
| Credentials | D.M.D., PH |
NPI Number Detail
| NPI Number | 1114195112 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2016-04-13 |
Provider Mailing Address Detail
| Address | 129 Lubrano Dr |
|---|---|
| City | Annapolis |
| State | Maryland (MD) |
| Post Code | 214017564 |
| Phone Number | 4102240018 |
| Fax Number | 4102244214 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS036891 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Tyson Gary Bross's 1114195112?
The Tyson Gary Bross's NPI (National Provider Identifier) Number is 1114195112. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tyson Gary Bross is located?
The Tyson Gary Bross is situated at the following address: 129 Lubrano Dr, Annapolis, MD, 214017564.
What is the Tyson Gary Bross's area of specialization and corresponding taxonomy classification?
The Tyson Gary Bross's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Tyson Gary Bross receive its 1114195112?
The Tyson Gary Bross was issued its 1114195112 on 2008-02-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Tyson Gary Bross last refreshed?
The information related to the Tyson Gary Bross, including its address, specialty, and other relevant details, was last updated on 2016-04-13.