DR. GREGORY H. ELLIS (NPI# 1710921523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710921523 |
| Entity Type | Individual |
| Full Name | DR. GREGORY H. ELLIS |
| Credential | DMD |
| Practice Address |
33 Temple St Rutland VT 05701-3543 |
| Mailing Address |
40 Washington St Rutland VT 05701-5031 |
| Practice Telephone | 8027750408 |
| Mailing Telephone | 8027738665 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0160000609 | VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0001858 | 05 | |
| VT | STATE LICENSE | 0609 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336631720 | Gregory S Ellis | Physical Therapist | 7801 York Rd Ste 104, Towson, MD 21204-7446 | 2018-06-01 |
| 1881768802 | Gregory W Ellis | Psychiatry & Neurology | 7050 South Highland Drive, Suite 230, Cottonwood Heights, UT 84121 | 2006-11-20 |
| 1821182106 | Gregory Sean Ellis | Dentist | 7621 Oakmont Blvd, Fort Worth, TX 76132-4206 | 2006-10-03 |
| 1043257231 | Gregory Carl Ellis | Pediatrics | 1224 Eastchester Dr, High Point, NC 27265-3116 | 2006-05-31 |
| 1992115208 | Gregory John Ellis | Massage Therapist | 140 Pine Grove Cmns, York, PA 17403-5151 | 2014-05-08 |
| 1629105622 | Gregory L Ellis | Optometrist | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2007-02-27 |
| 1598832982 | Gregory Ellis | Dentist | 2040 N Loop 336 W, Suite 300, Conroe, TX 77304-3500 | 2006-11-29 |
| 1841275096 | Gregory H Ellis | Pathology | 2015 Jackson St, Anderson, IN 46016-4337 | 2005-12-09 |
| Street Address |
33 TEMPLE ST |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629421474 | Hudson Valley Dental Associates Pllc | Dentist | 474 Holiday Dr Ste 1, Rutland, VT 05701-4889 | 2016-07-18 |
| 1598916579 | Dr Thomas A Gallivan, Jr, Dds, PC | Dentist | 198 North Main Street, Rutland, VT 05701 | 2008-10-08 |
| 1679794846 | Michael R Dick | Dentist | 240 Stratton Road, Rutland, VT 05701 | 2007-05-02 |
| 1801925276 | William Harm IIi | Dentist | 71 Grove St, Rutland, VT 05701-3402 | 2007-03-03 |
| 1477695211 | Robert L. Schmidt | Dentist | 163 Jackson Ave, Rutland, VT 05701-4500 | 2007-02-12 |
| 1700935947 | Thomas K Chadwick | Dentist | 69 Allen St Ste 10, Rutland, VT 05701-4564 | 2007-01-09 |
| 1558462861 | Peter A. Lakatos, Dmd, PC | Dentist | 70 Allen St, Rutland, VT 05701-4568 | 2006-09-26 |
| 1568403061 | Drs. Frank and Debbie Iacono, P.C. | Dentist | 72 Allen St, Rutland, VT 05701-4568 | 2006-06-08 |
| 1568402063 | Earl A Olson | Dentist | 163 Stratton Rd, Rutland, VT 05701-4619 | 2006-06-07 |
| 1184663361 | Francis Joseph D'auria | Dentist | 240 Stratton Rd, Rutland, VT 05701-4623 | 2006-06-05 |
| Find all providers in RUTLAND | ||||
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| 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.