Gross, Tucker William

Gross, Tucker William is an sole proprietor health care provider with primary practice located at 1306 S Lake Dr , Watertown SD 57201-5450. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Gross, Tucker William can be contacted via phone (605) 222-4489.

Contact Information

Primary practice address
1306 S Lake Dr Watertown SD 57201-5450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH1175 South Dakota

Profile Details

NPI number 1235577495
LBN Legal business name Gross, Tucker William
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2013
Last updated Jun 10th, 2013 - about 12 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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