DR. ROBERT ALBERT GROSSKLAUS


Address: 111 Beaver Grade, Ni M& I Puu, Lapwai, ID 83540
Phone: 2088432271

DR. ROBERT ALBERT GROSSKLAUS (NPI# 1720290927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720290927
Entity Type Individual
Full Name DR. ROBERT ALBERT GROSSKLAUS
Credential DDS
Practice Address 111 Beaver Grade
Ni M& I Puu
Lapwai
ID 83540
Mailing Address 2415 15th St
Lewiston
ID 83501
Practice Telephone 2088432271
Practice Fax Number 2088432658
Mailing Telephone 2087435058
Enumeration Date 2007-05-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D1749 ID Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 5065008 05
WA 2513900 05

Office Location

Street Address 111 BEAVER GRADE
NI M& I PUU
City LAPWAI
State ID
Zip Code 83540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962417253 Linda D Busch Registered Nurse 111 Beaver Grade, Lapwai, ID 83540 2006-07-29
1962859272 Miles Floyd Robinson Nurse Practitioner 111 Beaver Grade, Lapwai, ID 83540 2016-05-17
1962699447 Steven C Nash Dentist 111 Beaver Grade, Lapwai, ID 83540-0367 2007-09-28
1407901598 Cathlin Mcgee Counselor 111 Beaver Grade, Lapwai, ID 83540 2007-01-25
1952473902 Tina Marie Weathermon Registered Nurse 111 Beaver Grade, Lapwai, ID 83540 2006-11-14
1073618054 Rebecca K Jones Registered Nurse 111 Beaver Grade, Nimiipuu, Lapwai, ID 83540 2006-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114373800 Tonia Aripa Social Worker 111 Bever Gd, Lapwai, ID 83540 2016-05-11
1053432757 Elizabeth Ann Kendrick Nurse Practitioner 111 Beaver Rd, Lapwai, ID 83540 2007-04-02
1376697508 Lapwai School District 341 Local Education Agency (LEA) 225 District Road, Lapwai, ID 83540 2007-01-23
1235207861 Richard H Curry Jr. Counselor 111 Bevergrade, Lapwai, ID 83540 2006-12-01
1245226570 Heather Lei Weddle Pharmacist 111 Bever Grade, Lapwai, ID 83540 2005-09-22
1912473919 Sabrina M Wakefield Social Worker 111 Bever Grade Rd, Lapwai, ID 83540 2018-10-17
1962877464 Heather Foster Social Worker 111 Bever Grade, Lapwai, ID 83540 2015-12-09
1194129411 Penny R Buckland Nurse Practitioner 111 Bever Grade, Lapwai, ID 83540 2014-10-15
1396088282 Myra Irene Campbell Counselor 111 Bever Grade, Lapwai, ID 83540 2013-03-29
1083923247 Mary Jane Miles Counselor 111 Bever Grade, Lapwai, ID 83540 2010-10-05
Find all providers in zip 83540

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962732248 Byron Paul Sansom Dentist 111 Bever Grade Road, Lapwai, ID 83540-0367 2010-01-08
1962699447 Steven C Nash Dentist 111 Beaver Grade, Lapwai, ID 83540-0367 2007-09-28
1548283328 David L Eichler Dentist 111 Bever Grade Road, Lapwai, ID 83540-0367 2006-07-25
1639191554 James Joseph Palerino Dentist 111 Bever Grade, Lapwai, ID 83540-0367 2006-07-24
1629075411 Michele L. Mcgorky Dentist 111 Bever Grade Road, Lapwai, ID 83540-0367 2005-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891304002 Tree City Family Dental Dentist 7301 W. Emerald St Ste. 102, Boise, ID 83704 2020-07-24
1548887136 Bald 1 Sleep Solutions LLC Dentist 790 N Meridian St, Blackfoot, ID 83221-4936 2020-06-29
1346870144 Sleep Better Idaho LLC Dentist 3200 N Leslie Way, Meridian, ID 83646-5362 2020-01-21
1083269443 Zachary Miller Dentist 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 2019-08-02
1639723778 Lindsey N R Gross Dentist 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 2019-07-26
1093369241 Daniel Bryan Ackerman Dentist 10200 W Emerald St Ste 105, Boise, ID 83704-8900 2019-07-26
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1811419930 Kasey Hendricks Dentist 322 East Main St., St. Anthony, ID 83445 2017-07-11
1659805075 Ryan Michael Leininger Dentist 205 W Highway 95, Parma, ID 83660-5519 2017-04-12
1346789534 Summit Dental Care Paul, Pllc Dentist 207 W Ellis Street, Paul, ID 83347 2017-02-21
Find all providers with the same taxonomy

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City LAPWAI
Zip Code 83540

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Dataset Information

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.

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