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Andrew Gross, PHD, DMD — NPI 1629557012, Boston, MA | NPI Central

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NPI 1629557012

IndividualActive

Andrew Gross, PHD, DMD

NPI 1629557012 · Oral and Maxillofacial Surgery (Dentist) · Boston, MA

Provider details

NPI number: 1629557012
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: PHD, DMD
Sex: Male
Sole proprietor: Yes
License: 10858402-8903 (UT)

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense DN1859764 (MA)
Dental Providers
General Practice Dentistry1223G0001XLicense 10858402-8903 (UT)
Dental Providers
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 11022 (TN)
Dental Providers
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 10858402-9925 (UT)
Dental Providers

Practice location

55 Fruit St., Wang Ambulatory Bldg Suite230

Boston, MA 02114-2696

Phone: (617) 726-2740

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

55 Fruit St Bldg Suite230

Boston, MA 02114-2696

Additional practice locations (2)

2130 N Charles G Seivers Blvd Ste 1
Clinton, TN 37716-6705
Phone: (865) 622-4959
1442 E Draper Pkwy Ste G
Draper, UT 84020-9391
Phone: (509) 628-7174

Registry dates

Enumerated: 2018-08-07
Last updated: 2024-12-10
Certified: 2024-12-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.