Tyson Gary Bross, D.M.D., PH.D.

Pediatric Dentistry · Annapolis, MD

Individual Active NPI

NPI number 1114195112

Practice location

129 Lubrano Dr
Suite 300
Annapolis, MD 21401-7564
Phone
(410) 224-0018
Fax
(410) 224-4214

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NPI record

NPI
1114195112
Entity type
Individual (Type 1)
Enumeration date
February 13, 2008
Last updated
April 13, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 14024 MD
Dentist 122300000X DS036891 PA

About Dr. Bross

Tyson Gary Bross, D.M.D., PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 129 Lubrano Dr, Suite 300, Annapolis, MD 21401-7564. The NPI number 1114195112 was assigned on February 13, 2008 and the record was last updated on April 13, 2016.

Dr. Bross lists 2 licenses in the registry: #14024 (MD) for Pediatric Dentistry; #DS036891 (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyson Gary Bross, D.M.D., PH.D.?

The NPI number is 1114195112.

What is the phone number of Dr. Bross?

The phone number listed for the practice location is (410) 224-0018.

Where is Dr. Bross located?

129 Lubrano Dr, Suite 300, Annapolis, MD 21401-7564.

What is the taxonomy code for Dr. Bross?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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