Gross, Jeremy William

Gross, Jeremy William is an individual health care provider with primary practice located at 245 W Munroe Ave , Wisconsin Dells WI 53965-9656. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gross, Jeremy William can be contacted via phone (608) 254-2345.

Contact Information

Primary practice address
245 W Munroe Ave Wisconsin Dells WI 53965-9656
Phone: (608) 254-2345
Fax: (608) 254-6460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5921-15 Wisconsin

Profile Details

NPI number 1619932811
LBN Legal business name Gross, Jeremy William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 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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