NPI 1366805152 · live from the CMS NPI Registry
Grosso Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Moncks Corner, SC. National Provider Identifier 1366805152, active.
NPI record
| NPI | 1366805152 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 421 Barony St Ste 6, Moncks Corner, SC 29461 |
| Practice phone | 843-899-5800 |
| Enumerated | March 30, 2016 |
| Last updated | March 30, 2016 |
| Authorized official | Michael Grosso, Owner/Orthodontist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2722 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.