Shepherd Gross Jr., DDS

Dentist · Homewood, IL

Individual Active NPI

NPI number 1417019746

Practice location

1947 Ridge Road
Homewood, IL 60430
Phone
(708) 957-5836
Fax
(708) 957-5818

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NPI record

NPI
1417019746
Entity type
Individual (Type 1)
Enumeration date
December 14, 2006
Last updated
March 7, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

About Dr. Gross

Shepherd Gross Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1947 Ridge Road, Homewood, IL 60430. The NPI number 1417019746 was assigned on December 14, 2006 and the record was last updated on March 7, 2023.

Frequently asked questions

What is the NPI number of Shepherd Gross Jr., DDS?

The NPI number is 1417019746.

What is the phone number of Dr. Gross?

The phone number listed for the practice location is (708) 957-5836.

Where is Dr. Gross located?

1947 Ridge Road, Homewood, IL 60430.

What is the taxonomy code for Dr. Gross?

The primary taxonomy code is 122300000X – Dentist.

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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