Individual provider · Type 1 NPI

Paul Dwayne Gross, DDS

Oral and Maxillofacial Surgery (Dentist) · Lenoir City, TN

NPI number 1417954629 Active

Practice location

603 Highway 321 N Unit 20 Bldg 4, Lenoir City Prof. Park
Lenoir City, TN 37771-6575

Fax (865) 988-8398

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS2495 (TN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1417954629

Paul Dwayne Gross, DDS's National Provider Identifier is 1417954629, issued on Jul 1, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lenoir City, TN. The record was last updated on Jul 8, 2007.