Individual provider · Type 1 NPI

Nicole Broz Gross, DDS

General Practice Dentistry · Mequon, WI

NPI number 1124870910 Active

Practice location

11345 N Port Washington Rd
Mequon, WI 53092-3411

Fax (262) 241-3331

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6001599 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1124870910

Nicole Broz Gross, DDS's National Provider Identifier is 1124870910, issued on Apr 4, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mequon, WI. The record was last updated on Oct 27, 2026.