| Philip J. Gross D.d.s., P.c. | |
|
101 Sw Main St Ste 290 Portland OR 97204-3244 | |
| (503) 223-5125 | |
| (503) 221-6915 |
| Full Name | Philip J. Gross D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Sw Main St Ste 290, Portland, Oregon |
| Authorized Official Name and Position | Phili; Joel Gross (DOCTOR) |
| Authorized Official Contact | 5032235125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip J. Gross D.d.s., P.c. 101 Sw Main St Ste 290 Portland OR 97204-3244 Ph: (503) 223-5125 | Philip J. Gross D.d.s., P.c. 101 Sw Main St Ste 290 Portland OR 97204-3244 Ph: (503) 223-5125 |
| NPI Number | 1215014519 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215014519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5464 (Oregon) | Primary |
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