Provider Demographics
NPI:1336263771
Name:RONALD B GROSS & ASSOCIATES PC
Entity Type:Organization
Organization Name:RONALD B GROSS & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:FROMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-326-9797
Mailing Address - Street 1:531 N CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-4602
Mailing Address - Country:US
Mailing Address - Phone:610-326-9797
Mailing Address - Fax:
Practice Address - Street 1:531 N CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-4602
Practice Address - Country:US
Practice Address - Phone:610-326-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018086L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty