Tracy John Grossman, DDS

General Practice Dentistry · Worthington, MN

Individual Active NPI

NPI number 1750541918

Practice location

1029 3rd Ave
Worthington, MN 56187-2398
Phone
(507) 376-9797

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NPI record

NPI
1750541918
Entity type
Individual (Type 1)
Enumeration date
June 11, 2008
Last updated
April 3, 2023
Certified
April 3, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 133 SD

About Dr. Grossman

Tracy John Grossman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1029 3rd Ave, Worthington, MN 56187-2398. The NPI number 1750541918 was assigned on June 11, 2008 and the record was last updated on April 3, 2023.

Dr. Grossman lists a license in the registry: #133 (SD) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy John Grossman, DDS?

The NPI number is 1750541918.

What is the phone number of Dr. Grossman?

The phone number listed for the practice location is (507) 376-9797.

Where is Dr. Grossman located?

1029 3rd Ave, Worthington, MN 56187-2398.

What is the taxonomy code for Dr. Grossman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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