Provider Demographics
NPI:1598853871
Name:GROSSHANDLER, CARL DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:DAVID
Last Name:GROSSHANDLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BETHESDA DR
Mailing Address - Street 2:BLDG. #5
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-7507
Mailing Address - Country:US
Mailing Address - Phone:740-452-3844
Mailing Address - Fax:740-453-1631
Practice Address - Street 1:950 BETHESDA DR
Practice Address - Street 2:BLDG. #5
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-7507
Practice Address - Country:US
Practice Address - Phone:740-452-3844
Practice Address - Fax:740-453-1631
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH164231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics