Edward R Grossman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027844L Issued in PA

Practice address

704 Gordon Dr
Exton, PA 19341-1253

Phone

(610) 363-6660

Fax

(610) 363-6010

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043364052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-6660",
            "fax_number": "610-363-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-6660",
            "fax_number": "610-363-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "EDWARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027844L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Griffith
• Megan Grigoletti
• Alison Groder, LSW
• Sarah Michelle Grose, PA-C
• Richard G. Gross, DMD
• Emma Elizabeth Groth
• Growth & Healing Therapy Associates LLC
• GSV Psychological & Testing Services
• Raffaela Gualtieri, MS
• Reta Guirguis

• General Practice Dentistry in Exton, PA
• Providers in Exton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.