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NPI Code Detail

MEDICARE: DR. WILLIAM BERNARD GROSS DDS

MEDICARE:  DR. WILLIAM BERNARD GROSS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies10539NC
2122300000XDentist10539NC

General Provider Information

NPI Number : 1124127626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM BERNARD GROSS DDS
Provider Business Mailing Address
First Line : 10970 CHAPEL HILL ROAD
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-2801
Country : US
Telephone Number : 201-404-1798
Fax Number :
Provider Business Practice Location Address
First Line : 10970 CHAPEL HILL ROAD
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-2801
Country : US
Telephone Number : 201-404-1798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 12/09/2019

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Directions to “ DR. WILLIAM BERNARD GROSS DDS” Practice Location

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