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Jeremy William Gross, DDS

Individual provider Active NPI General Practice Dentistry · Wisconsin Dells, WI

NPI 1619932811 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1619932811
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5921-15 (WI)
Practice address
245 W Munroe Ave
Wisconsin Dells, WI 53965-9656
Phone
(608) 254-2345
Fax
(608) 254-6460
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Dells Dental General Practice Dentistry · Wisconsin Dells, WI · NPI 1720153802
    NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5921-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dells Dental General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5921-15 WI Yes

Addresses

Primary practice location

245 W Munroe Ave
Wisconsin Dells, WI 53965-9656

Mailing address

245 W Munroe Ave
Wisconsin Dells, WI 53965-9656
Phone (608) 254-2345

Other providers in Wisconsin Dells, WI

All providers in Wisconsin Dells, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.