Grotstein, Jerald Allen
Grotstein, Jerald Allen is an individual health care provider with primary practice located at 100 Ridge View Dr Suite 103, Cary NC 27511-5589. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grotstein, Jerald Allen can be contacted via phone (919) 467-2203.Contact Information
Primary practice address
100 Ridge View Dr Suite 103
Cary NC 27511-5589
Phone: (919) 467-2203
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4139 | North Carolina |
Profile Details
| NPI number | 1073599304 |
|---|---|
| LBN Legal business name | Grotstein, Jerald Allen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073599304 | NPPES |
| North Carolina | MEDICAID | 93434 |
Popular Providers
-
Brooks, Thomas E
1142 Executive Cir Suite A, Cary NC 27511-4570 -
Kinlaw, Delma H
251 Keisler Dr Ste 200 , Cary NC 27511-7091 -
Ferzli, Charles
915 Kildaire Farm Rd Suite 7, Cary NC 27511-3936 -
Beavers, Wayne M
1146 Executive Cir , Cary NC 27511-4526 -
Melcher, Simon P.
100 Ridge View Dr Suite 101, Cary NC 27511-5589 -
Shah, Bhavna
617 Royal Towe Way , Cary NC 27513 -
Babinec, Jennifer E
1151 Kildaire Farm Rd Suite 108, Cary NC 27511-4580 -
Howarth, Gregg L
530 New Waverly Pl Suite 302, Cary NC 27518-7414