Groll, Cody Shawn

Groll, Cody Shawn is an individual health care provider with primary practice located at 3011 N Michigan St , Pittsburg KS 66762-2546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Groll, Cody Shawn can be contacted via phone (202) 319-8736.

Contact Information

Primary practice address
3011 N Michigan St Pittsburg KS 66762-2546
Phone: (202) 319-8736
Fax: (620) 231-5062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12891810-9922 Utah
Dental Providers / Dentist 122300000X 61967 Kansas

Profile Details

NPI number 1215662788
LBN Legal business name Groll, Cody Shawn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2022
Last updated Feb 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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