Gross, Bob Dean
Gross, Bob Dean is an individual health care provider with primary practice located at 100 Medical Center Dr Suite 205, Gadsden AL 35903-1134. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gross, Bob Dean can be contacted via phone (256) 492-6363.Contact Information
Primary practice address
100 Medical Center Dr Suite 205
Gadsden AL 35903-1134
Phone: (256) 492-6363
Fax: (256) 492-0047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4379 | Alabama |
Profile Details
| NPI number | 1326173311 |
|---|---|
| LBN Legal business name | Gross, Bob Dean |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 16th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326173311 | NPPES |
| Alabama | Other | 510-90829 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 000090829 | BLUE CROSS BLUE SHIELD |
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