Michael Frank Grosso Jr., D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0346 Issued in SC

Practice address

421 Barony St
Suite 6
Moncks Corner, SC 29461-3145

Phone

(843) 899-5800

Fax

(843) 899-5806

NPI assigned

Jul 24, 2006

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

Practice roles

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.

• Grosso Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Moncks Corner, SC
  • NPI 1366805152
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1760404081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BARONY ST",
            "address_2": "SUITE 6",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613145",
            "telephone_number": "843-899-5800",
            "fax_number": "843-899-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BARONY ST",
            "address_2": "SUITE 6",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613145",
            "telephone_number": "843-899-5800",
            "fax_number": "843-899-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSO",
        "first_name": "MICHAEL",
        "middle_name": "FRANK",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "0346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary K Green
• Patica R. Green
• Evelyn T Gregg, REGISTERED NURSE I
• Grosso Orthodontics
• Lindsay E Grosso, DMD, MS,
• Growing Minds Behavioral LLC
• Kisha T Guess
• Neal Wells Haga, PHARMD
• Katrina R Hall
• Austin Hampton

• Orthodontics and Dentofacial Orthopedics Dentistry in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.