Gross, Robert Lee

Gross, Robert Lee is an individual health care provider with primary practice located at 616 6Th St , Bremerton WA 98337-1420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gross, Robert Lee can be contacted via phone (360) 478-2368.

Contact Information

Primary practice address
616 6Th St Bremerton WA 98337-1420
Phone: (360) 478-2368
Fax: (360) 475-3700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00003466 Washington

Profile Details

NPI number 1104851856
LBN Legal business name Gross, Robert Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 2nd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104851856 NPPES
Washington MEDICAID 5541305

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