PAUL DWAYNE GROSS (NPI# 1417954629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417954629 |
| Entity Type | Individual |
| Full Name | PAUL DWAYNE GROSS |
| Credential | DDS |
| Practice Address |
603 Highway 321 N Unit 20 Bldg 4 Lenoir City Prof. Park Lenoir City TN 37771-6575 |
| Practice Telephone | 8659864582 |
| Practice Fax Number | 8659888398 |
| Mailing Telephone | 8659864582 |
| Mailing Fax Number | 8659888398 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS2495 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3225912 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1649625062 | Paul Gross | Pharmacist | 715 W Us Highway 30, Carroll, IA 51401-2134 | 2016-05-04 |
| 1508256249 | Paul Hersen Gross | Chiropractor | 369 Cherokee Pl Se, Atlanta, GA 30312-3244 | 2015-02-03 |
| 1619289832 | Paul Daniel Gross | Student in an Organized Health Care Education/Training Program | 14600 Sherman Way, Suite 100d, Van Nuys, CA 91405-2283 | 2010-07-02 |
| 1073698106 | Paul Gross | Family Medicine | Mmg - Family Health Center, 360 East 193rd Street, Bronx, NY 10458 | 2006-10-26 |
| 1063510048 | Paul T Gross | Psychiatry & Neurology | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-21 |
| 1598871097 | Paul Kenneth Gross | Psychiatry & Neurology | 401 N 17th Street, Suite 304, Allentown, PA 18104-5014 | 2006-08-21 |
| 1558360560 | Paul R Gross | Dermatology | 220 S 8th St, Philadelphia, PA 19107-5505 | 2005-07-20 |
| Street Address |
603 HIGHWAY 321 N UNIT 20 BLDG 4 LENOIR CITY PROF. PARK |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37771-6575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085483 | Kevin D. Gross | Dentist | 603 Highway 321 N Unit 20 Bldg 4, Lenoir City Prof. Park, Lenoir City, TN 37771-6575 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380621 | Geetika Chirumamilla | Dentist | 375 Kelsey Lane, Suite 1, Lenoir City, TN 37771 | 2018-06-15 |
| 1669918256 | Patrick Anthony Albanese | Pharmacist | 875 Hwy 321 N, Unit 600, Lenoir City, TN 37771 | 2017-01-06 |
| 1598014482 | Comprehensive Healthcare Systems of Lenoir City, PC | Contractor | 780 Highway 321 North Ste 10, Lenoir City, TN 37771 | 2012-09-06 |
| 1750619797 | James Olin Morris | Nurse Practitioner | 840 Hwy 321 N., Living Well Health Cooperative Clinic, Lenoir City, TN 37771 | 2009-12-03 |
| 1427284363 | Charles Preston Mccary IIi | Dentist | 603 Hwy 321 N., Lenoir City, TN 37771 | 2009-06-05 |
| 1619129004 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 300 Market Drive, Lenoir City, TN 37771 | 2008-10-16 |
| 1396898052 | David Wayne Holt | Chiropractor | 1005 E Broadway, Lenoir City, TN 37771 | 2007-01-18 |
| 1558428151 | Peter E Mueller | Optometrist | 911 Hwy 321 N, Lenoir City, TN 37771 | 2007-01-02 |
| 1871661371 | Darrick Shane Blankenship | Occupational Therapist | 785 Us Hwy 321 N, Ste 20, Lenoir City, TN 37771 | 2006-12-01 |
| 1851460224 | Cheryl S. Cason | Pharmacy Technician | 501 Adesa Blvd., Suite A 150, Lenoir City, TN 37771 | 2006-11-07 |
| Find all providers in zip 37771 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154407088 | Foothills Oral and Maxillofacial Surgery, PC | Dentist | 603 Highway 321 N, Bldg. 4, Unit 20, Lenoir City, TN 37771-6575 | 2006-10-31 |
| 1720085483 | Kevin D. Gross | Dentist | 603 Highway 321 N Unit 20 Bldg 4, Lenoir City Prof. Park, Lenoir City, TN 37771-6575 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1467835140 | Amir Victor Francis | Dentist | 1100 Poplar View Ln N Ste 1, Collierville, TN 38017-9323 | 2015-06-30 |
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 1720472855 | Charles Baker Felts Iv | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 | 2015-03-26 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1194122135 | Samuel Edward Molind | Dentist | 210 Memorial Dr, Bristol, TN 37620-1704 | 2014-11-19 |
| 1780094052 | Andrew Ferraro | Dentist | 2964 Miller Place Way, Knoxville, TN 37924-1673 | 2014-05-07 |
| 1144649393 | Thomas Bailey | Dentist | 3000 Stansberry Ln Ste 101, Franklin, TN 37069-5125 | 2014-04-15 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
| City | LENOIR CITY |
| Zip Code | 37771 |
Please comment or provide details below to improve the information on PAUL DWAYNE GROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.