Gordon D. Gross, D.D.S.,P.C. in Phoenix - Dental
Gordon D. Gross, D.D.S.,P.C. - NPI 1548482300
Gordon D. Gross, D.D.S.,P.C. is a Dental in Phoenix, Arizona. Gordon D. Gross, D.D.S.,P.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for Gordon D. Gross, D.D.S.,P.C. is 1548482300. The last update date is 2020-08-22.
Gordon D. Gross, D.D.S.,P.C.'s current location address is 2715 W Northern Ave, Phoenix, Arizona. You can contact this provider via phone number 6029950280 and fax number 6028649161. The mailing address for Gordon D. Gross, D.D.S.,P.C. is 2715 W Northern Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gordon D. Gross, D.D.S.,P.C. |
|---|---|
| Address | 2715 W Northern Ave, Phoenix, Arizona |
| Phone Number | 6029950280 |
| Fax Number | 6028649161 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gross D Gordon |
| Credentials | D.D.S. |
| Telephone Number | 6029950280 |
NPI Number Detail
| NPI Number | 1548482300 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2715 W Northern Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850516641 |
| Phone Number | 6029950280 |
| Fax Number | 6028649161 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 824144 | AZ | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to Gordon D. Gross, D.D.S.,P.C. by the Centers for Medicare & Medicaid Services?
The Gordon D. Gross, D.D.S.,P.C. has been assigned the NPI (National Provider Identifier) 1548482300. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gordon D. Gross, D.D.S.,P.C. is located?
The Gordon D. Gross, D.D.S.,P.C. is situated at the following address: 2715 W Northern Ave, Phoenix, AZ, 850516641.
What is the area of specialization for Gordon D. Gross, D.D.S.,P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gordon D. Gross, D.D.S.,P.C. is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548482300 to Gordon D. Gross, D.D.S.,P.C.?
The Gordon D. Gross, D.D.S.,P.C. received its 1548482300 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the information regarding Gordon D. Gross, D.D.S.,P.C. most recently updated?
The details pertaining to the Gordon D. Gross, D.D.S.,P.C., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA