Gross, Daniel Marc

Gross, Daniel Marc is an sole proprietor health care provider with primary practice located at 11401 201St St , Saint Albans NY 11412-2810. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gross, Daniel Marc can be contacted via phone (718) 464-2138.

Contact Information

Primary practice address
11401 201St St Saint Albans NY 11412-2810
Phone: (718) 464-2138
Fax: (718) 464-4358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 033015-1 New York

Profile Details

NPI number 1629111257
LBN Legal business name Gross, Daniel Marc
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629111257 NPPES
New York MEDICAID 243
New York Other A7551
New York MEDICAID 00842484

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