Bross, Tyson Gary

Bross, Tyson Gary is an individual health care provider with primary practice located at 129 Lubrano Dr Suite 300, Annapolis MD 21401-7564. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Bross, Tyson Gary can be contacted via phone (410) 224-0018.

Contact Information

Primary practice address
129 Lubrano Dr Suite 300 Annapolis MD 21401-7564
Phone: (410) 224-0018
Fax: (410) 224-4214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS036891 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X 14024 Maryland

Profile Details

NPI number 1114195112
LBN Legal business name Bross, Tyson Gary
Credentials D.M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2008
Last updated Apr 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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