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PAUL DWAYNE GROSS DDS, NPI 1417954629

Dentist in LENOIR CITY, TN

Last Updated on : Jul 08,2007

PAUL DWAYNE GROSS DDS, NPI 1417954629

About PAUL DWAYNE GROSS (NPI 1417954629)


PAUL DWAYNE GROSS is a Dentist provider in LENOIR CITY, United States. His medical specialization is Dentist with a focus in Oral and Maxillofacial Surgery.

1417954629 is NPI number of PAUL DWAYNE GROSS.

PAUL DWAYNE GROSS's primary taxonomy code based on NPI Lookup is 1223S0112X with license number DS2495. This taxonomy code refers to Dentist.

PAUL DWAYNE GROSS has more than 16 years of experience.

PAUL DWAYNE GROSS current practice location address is 603 HIGHWAY 321 N UNIT 20 BLDG 4, LENOIR CITY, TN. PAUL DWAYNE GROSS can be reached out via phone at 865-986-4582 and via fax at 865-988-8398 .

You can also correspond with PAUL DWAYNE GROSS through mail at mailing address 603 HIGHWAY 321 N UNIT 20 BLDG 4, LENOIR CITY, TN, United States. Mailing address contact number is 865-986-4582.

The enumeration date of PAUL DWAYNE GROSS is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1417954629 NPI Information

Basic NPI information of PAUL DWAYNE GROSS (NPI 1417954629) is provided below.

Name PAUL DWAYNE GROSS
National Provider Id (NPI) 1417954629
Entity Type Individual
Gender M
Credential DDS
Practice Address 603 HIGHWAY 321 N UNIT 20 BLDG 4, LENOIR CITY PROF. PARK
LENOIR CITY, TN, United States
Practice Telephone 865-986-4582
Practice Fax Number 865-988-8398
Mailing Address 603 HIGHWAY 321 N UNIT 20 BLDG 4 , LENOIR CITY PROF. PARK
LENOIR CITY, TN, United States
Mailing Telephone 865-986-4582
Mailing Fax Number 865-988-8398
Enumeration Date 01-Jul-2005
Last Updated Date 08-Jul-2007

PAUL DWAYNE GROSS (NPI 1417954629) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 1223S0112X Dentist, Oral and Maxillofacial Surgery DS2495 TN

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.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
3225912 MEDICARE ID-Type Unspecified (04) TN
3225912 MEDICAID (05) TN
U40346 MEDICARE UPIN (02) TN

PAUL DWAYNE GROSS (NPI 1417954629) Office Location

Office location of PAUL DWAYNE GROSS is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1306824263 CAROL KRAEMER WITHERINGTON Nurse Practitioner, Psych/Mental Health 3011 ANTIOCH CHURCH RD W,
LENOIR CITY, TN, United States
02-Jan-2006
1558428151 PETER E MUELLER Optometrist PO BOX 707,
TOWNSEND, TN, United States
02-Jan-2007
1427115096 DEBORAH LYNNE MAPLES Physical Therapy Assistant 407 N C STREET,
LENOIR CITY, TN, United States
03-Jan-2007
1710450549 ABIGAIL KAPLAN Occupational Therapist 1701 CAPITOL BLVD,
KNOXVILLE, TN, United States
03-Jan-2019
1932672631 PAMELA LAMPHEAR Nurse's Aide 1923 SULPHUR SPRINGS RD,
MORRISTOWN, TN, United States
04-Jan-2019
1063716066 MERCY PRIMARY CARE OF LENIOR CITY Clinic/Center 501 ADESA BLVD STE 300,
LENOIR CITY, TN, United States
05-Jan-2011
1700123890 MICHELLE HATTER Counselor, Mental Health 1451 DOWELL SPRINGS BLVD,
KNOXVILLE, TN, United States
09-Jan-2013
1184961146 ANGELA ORR Speech-Language Pathologist, 700 WILLIAMS FERRY RD,
LENOIR CITY, TN, United States
10-Jan-2013
1750880480 R DOUGLAS MASON Pharmacist 930 OAK CHASE BLVD,
LENOIR CITY, TN, United States
08-Feb-2018
1366831539 WALTER ADAMS Clinic/Center, Physical Therapy 361 FLORA DR,
LENOIR CITY, TN, United States
12-Jan-2015
1306083910 BOBBY ALLEN SHUGART Pharmacist 1042 COUNTY ROAD 609,
ETOWAH, TN, United States
20-Jan-2009
1972654374 GWENDOLYN EMMA DUSO CRENSHAW Nurse Practitioner, Family 9352 PARK WEST BLVD, ATTN: PARKWEST SLEEP DISORDERS CENTER
KNOXVILLE, TN, United States
15-Jan-2007
1396898052 DAVID WAYNE HOLT Chiropractor 1005 E BROADWAY,
LENOIR CITY, TN, United States
18-Jan-2007
1770972465 RODNEY KENT LEACH Physical Therapist 4860 HICKORY CREEK RD,
LENOIR CITY, TN, United States
18-Jan-2015
1245748615 KETAN PATEL Pharmacist 271 ALEXIS LN,
LENOIR CITY, TN, United States
18-Jan-2018
1295715985 JUNE YVONNE LYONS Family Medicine 6350 W A J HWY, DEPARTMENT 100
TALBOTT, TN, United States
19-Jan-2006
1083694707 MILAN N SHETH Internal Medicine PO BOX 440332,
NASHVILLE, TN, United States
19-Jan-2006
1417465790 MARY KATHLEEN BLANKENSHIP Pharmacist 911 HIGHWAY 321 N,
LENOIR CITY, TN, United States
19-Jan-2018
1346210010 JOHN W BAILEY Pharmacist 240 VALLEYVIEW DR,
LENOIR CITY, TN, United States
25-Jan-2006
1366713133 CHARLENE DUCKWORTH Physical Therapist 700 WILLIAMS FERRY RD,
LENOIR CITY, TN, United States
25-Jan-2012

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1417954629?

1417954629 is the NPI number of PAUL DWAYNE GROSS.

What is the specialty for PAUL DWAYNE GROSS?

The Specialty of PAUL DWAYNE GROSS is Dentist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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