Bob Dean Gross in Gadsden - Oral And Maxillofacial Surgery

Bob Dean Gross - NPI 1326173311

Bob Dean Gross is a Oral And Maxillofacial Surgery in Gadsden, Alabama. Bob Dean Gross practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bob Dean Gross is 1326173311. The last update date is 2010-07-16.

Bob Dean Gross's current location address is 100 Medical Center Dr, Gadsden, Alabama. You can contact this provider via phone number 2564926363 and fax number 2564920047. The mailing address for Bob Dean Gross is 100 Medical Center Dr, Gadsden, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Bob Dean Gross
Address 100 Medical Center Dr, Gadsden, Alabama
Phone Number 2564926363
Fax Number 2564920047
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1326173311
Provider Enumeration Date 2007-02-22
Last Updated Date 2010-07-16

Provider Mailing Address Detail

Address 100 Medical Center Dr
City Gadsden
State Alabama (AL)
Post Code 359031134
Phone Number 2564926363
Fax Number 2564920047

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 4379
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
510-90829 AL BLUE CROSS BLUE SHIELD
90829 AL --

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FAQs about Bob Dean Gross

What is the unique 10-digit identifier code issued to Bob Dean Gross by the Centers for Medicare & Medicaid Services?

The Bob Dean Gross has been assigned the NPI (National Provider Identifier) 1326173311 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Bob Dean Gross located?

The Bob Dean Gross is located at 100 Medical Center Dr, Gadsden, AL 359031134.

What is the Bob Dean Gross's specialty and taxonomy code?

The Bob Dean Gross's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1326173311 to Bob Dean Gross?

The Centers for Medicare & Medicaid Services originally issued the 1326173311 to Bob Dean Gross on 2007-02-22.

As of what date was the information regarding Bob Dean Gross, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bob Dean Gross, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-07-16.

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