Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYSON GARY BROSS, D.M.D., PH.D.
ActiveDR. TYSON GARY BROSS, D.M.D., PH.D. is a Pediatric Dentistry healthcare provider located in ANNAPOLIS, Maryland. NPI 1114195112 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ANNAPOLIS, MD
Registration Details
- NPI Number
- 1114195112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2008 (18.516312981726 yrs)
- Last Updated
- Apr 13, 2016
- Licenses
-
DS036891 (PA)14024 (MD)
Practice Information
- Address
-
129 LUBRANO DRSUITE 300ANNAPOLIS, MD, 214017564Browse MD providers · Browse ZIP 21401
- Phone
- 4102240018
- Fax
- 4102244214
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in ANNAPOLIS, MD
| Name | Credential | NPI |
|---|---|---|
| DR. FRANCES S LEWIS | D.D.S. | 1598894107 |
| DR. BEVERLY ANN JIMENEZ | DDS | 1104959337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.