Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACIE LEE GROSS, RDH
ActiveMRS. STACIE LEE GROSS, RDH is a Dental Hygienist healthcare provider located in BRAINERD, Minnesota. NPI 1700116316 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · BRAINERD, MN
Registration Details
- NPI Number
- 1700116316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2010 (16.572908967463 yrs)
- Last Updated
- Jan 4, 2010
- License
-
H7554 (MN)
Practice Information
- Address
-
501 WEST COLLEGE DRIVEBRAINERD, MN, 56401Browse MN providers · Browse ZIP 56401
- Phone
- 2188558272
- Fax
- 2188558270
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.