Gregory Bennett Grossman
Dentist - General Practice
2130 Stout St
Denver
, Colorado 80205-2827
Gregory Bennett Grossman
Dentist - General Practice
2130 Stout St
Denver
, Colorado 80205-2827
(303) 293-2220
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Gregory Bennett Grossman
- 2130 Stout St
- Denver, CO
- Zip : 80205-2827
- Phone : (303) 293-2220
Second Address
- Gregory Bennett Grossman
- 2130 Stout St
- Denver, CO
- Zip : 80205-2827
- Phone : (303) 293-2220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 105450 | CO |
| Y | 213EG0000X | General Practice | 105450 | CO |
National Provider Identifier
| NPI | 1003890617 |
|---|---|
| Provider Name | Gregory Bennett Grossman |
| First Address | Denver, CO 80205-2827 |
| Second Address | Denver, CO 80205-2827 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 11/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.