| Mark L Grosko Dds Inc | |
|
843 N 21st St Suite 103 Newark OH 43055-7273 | |
| (740) 344-6349 | |
| (740) 344-6350 |
| Full Name | Mark L Grosko Dds Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 843 N 21st St, Newark, Ohio |
| Authorized Official Name and Position | Mark L Grosko (PRESIDENT) |
| Authorized Official Contact | 7403446349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Grosko Dds Inc 843 N 21st St Suite 103 Newark OH 43055-7273 Ph: (740) 344-6349 | Mark L Grosko Dds Inc 843 N 21st St Suite 103 Newark OH 43055-7273 Ph: (740) 344-6349 |
| NPI Number | 1548316094 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 09/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548316094 | NPI | - | NPPES |
| 440265 | Other | OH | SUPERIOR |
| 187028 | Other | OH | COMPBENEFITS FACILITY # |
| 195423983004 | Other | OH | MEDICAL MUTUAL |
| 9185647 | Other | OH | DORAL PROVIDER ID |
| 2424693 | Medicaid | OH | |
| 256022 | Other | OH | CIGNA |
| 1400162 | Other | OH | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | OH21555 (Ohio) | Primary |
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