Individual provider · Type 1 NPI
Andrew Jacob Gross, PhD, DMD
Oral and Maxillofacial Surgery (Dentist) · Boston, MA
Practice location
55 Fruit St., Wang Ambulatory Bldg SUITE230
Boston, MA 02114-2696
Mailing address
55 Fruit St Bldg SUITE230
Boston, MA 02114-2696
Other practice locations
- 1442 E Draper Pkwy Ste G, Draper, UT 84020-9391 · (509) 628-7174
- 2130 N Charles G Seivers Blvd Ste 1, Clinton, TN 37716-6705 · (865) 622-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 10858402-8903 (UT) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11022 (TN) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10858402-9925 (UT) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN1859764 (MA) |
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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- Anoush Michelle Longerstaey, DMDOral and Maxillofacial Surgery (Dentist) Boston, MA NPI 1033841564
- Allan Wun, DMDOral and Maxillofacial Surgery (Dentist) Boston, MA NPI 1053750893
- Shadi Daher, DMDOral and Maxillofacial Surgery (Dentist) Boston, MA NPI 1063585354
- Cristobal Alberto Quevedo, DDSOral and Maxillofacial Surgery (Dentist) Boston, MA NPI 1073825352
- David Joey Chang, DMDOral and Maxillofacial Surgery (Dentist) Boston, MA NPI 1083879829
About NPI 1629557012
Andrew Jacob Gross, PhD, DMD's National Provider Identifier is 1629557012, issued on Aug 7, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Dec 10, 2024.