Provider Demographics
NPI:1053435487
Name:MONTEROSSO, GREGG V (DMD)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:V
Last Name:MONTEROSSO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7227 N DREAMY DRAW DR STE 4
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5278
Mailing Address - Country:US
Mailing Address - Phone:917-549-7248
Mailing Address - Fax:212-581-3051
Practice Address - Street 1:7227 N DREAMY DRAW DR STE 4
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5278
Practice Address - Country:US
Practice Address - Phone:917-549-7248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0101991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice