Marc L Grossman in Freedom - Pediatric Dentistry
Marc L Grossman - NPI 1831237114
Marc L Grossman is a Pediatric Dentistry in Freedom, California. Marc L Grossman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Marc L Grossman is 1831237114. The last update date is 2007-07-08.
Marc L Grossman's current location address is 228 Green Valley Rd, Freedom, California. You can contact this provider via phone number 8317229202 and fax number 8317224301. The mailing address for Marc L Grossman is 228 Green Valley Rd, Freedom, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc L Grossman |
|---|---|
| Address | 228 Green Valley Rd, Freedom, California |
| Phone Number | 8317229202 |
| Fax Number | 8317224301 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1831237114 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 228 Green Valley Rd |
|---|---|
| City | Freedom |
| State | California (CA) |
| Post Code | 950193136 |
| Phone Number | 8317229202 |
| Fax Number | 8317224301 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 26311 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identifier code assigned to Marc L Grossman by the Centers for Medicare & Medicaid Services?
The Marc L Grossman has been issued the NPI (National Provider Identifier) 1831237114 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Marc L Grossman?
The Marc L Grossman is situated at 228 Green Valley Rd, in the city of Freedom, state of CA, with the zip code 950193136.
What is Marc L Grossman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marc L Grossman's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date was the 1831237114 assigned to Marc L Grossman?
The Marc L Grossman was issued its 1831237114 on 2007-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Marc L Grossman's information last updated?
The Marc L Grossman's information was last updated on 2007-07-08.