| Stephen L Gross DDS PC | |
|
204 W Thayer Ave Suite B2 Bismarck ND 58501-3772 | |
| (701) 223-8262 | |
| (701) 223-0733 |
| Full Name | Stephen L Gross DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 W Thayer Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Stephen Louis Gross (PRESIDENT) |
| Authorized Official Contact | 7012238262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Gross DDS PC 204 W Thayer Ave Suite B2 Bismarck ND 58501-3772 Ph: (701) 223-8262 | Stephen L Gross DDS PC 204 W Thayer Ave Suite B2 Bismarck ND 58501-3772 Ph: (701) 223-8262 |
| NPI Number | 1437285012 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437285012 | NPI | - | NPPES |
| 40999 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1742 (North Dakota) | Primary |
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