Grossman, Matthew

Grossman, Matthew is an individual health care provider with primary practice located at 370 Kings Mall Ct , Kingston NY 12401-1576. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grossman, Matthew can be contacted via phone (845) 336-8478.

Contact Information

Primary practice address
370 Kings Mall Ct Kingston NY 12401-1576
Phone: (845) 336-8478
Fax: (845) 336-8607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 47521 New York

Profile Details

NPI number 1457470650
LBN Legal business name Grossman, Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 19 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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