Kenneth E. Grossman
Endodontist
7800 Red Rd Ste 116
South Miami
, Florida 33143-5543
Kenneth E. Grossman
Endodontist
7800 Red Rd Ste 116
South Miami
, Florida 33143-5543
(305) 666-2935
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Kenneth E. Grossman
- 7800 Red Rd Ste 116
- South Miami, FL
- Zip : 33143-5543
- Fax : (305) 666-2935
- Phone : (305) 666-2828
Second Address
- Kenneth E. Grossman
- 7800 Red Rd Ste 116
- South Miami, FL
- Zip : 33143-5543
- Fax : (305) 666-2935
- Phone : (305) 666-2828
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 5170 | FL |
National Provider Identifier
| NPI | 1053683573 |
|---|---|
| Provider Name | Kenneth E. Grossman |
| First Address | South Miami, FL 33143-5543 |
| Second Address | South Miami, FL 33143-5543 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2012 |
| Last Update Date | 30/01/2012 |
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.