Richard R. Grossman, D.d.s., P.c. | |
489 Market St Kingston PA 18704-4534 | |
(570) 283-0664 | |
(570) 283-5623 |
Full Name | Richard R. Grossman, D.d.s., P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 489 Market St, Kingston, Pennsylvania |
Authorized Official Name and Position | Richard R Grossman (PRESIDENT) |
Authorized Official Contact | 5702830664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard R. Grossman, D.d.s., P.c. 489 Market St Kingston PA 18704-4534 Ph: (570) 283-0664 | Richard R. Grossman, D.d.s., P.c. 489 Market St Kingston PA 18704-4534 Ph: (570) 283-0664 |
NPI Number | 1346303252 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346303252 | NPI | - | NPPES |
21749 | Other | PA | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS020564L (Pennsylvania) | Primary |
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