DR. THEODORE C GROSS (NPI# 1770639213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770639213 |
| Entity Type | Individual |
| Full Name | DR. THEODORE C GROSS |
| Credential | DDS |
| Practice Address |
12 Davis Ave Poughkeepsie NY 12603 |
| Practice Telephone | 8454734565 |
| Practice Fax Number | 8454841721 |
| Mailing Telephone | 8454734565 |
| Mailing Fax Number | 8454841721 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 036441 | NY | Dental Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 036441 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00722376 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 939 Route 376 Ste 1, Wappingers Falls, NY 125907612 | 8452239987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922531508 | Theodore Gross | Student in an Organized Health Care Education/Training Program | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2017-04-10 |
| Street Address |
12 DAVIS AVE |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780624197 | Richard Jason Fost | Psychologist | 12 Davis Ave, Suite 2n, Poughkeepsie, NY 12603-2408 | 2006-06-07 |
| 1497383772 | Allsleepwell, Inc | Durable Medical Equipment & Medical Supplies | 12 Davis Ave, Poughkeepsie, NY 12603-2452 | 2020-03-31 |
| 1871755389 | Claire Chae-jin Paik | Dentist | 12 Davis Ave, Poughkeepsie, NY 12603-2408 | 2008-06-26 |
| 1730351800 | Gross and Flores Dds PC | Dentist | 12 Davis Ave, Poughkeepsie, NY 12603-2408 | 2008-03-29 |
| 1609053321 | Joel Gatchalian | Dentist | 12 Davis Ave, Poughkeepsie, NY 12603 | 2008-01-24 |
| 1679629125 | Corazon Flores | Dentist | 12 Davis Ave, Poughkeepsie, NY 12603 | 2007-01-26 |
| 1982713590 | Lubna Humayun Somjee | Psychologist | 12 Davis Ave, Suite 2n, Poughkeepsie, NY 12603-2408 | 2006-08-29 |
| 1770502346 | William Henry Hartwig | Clinical Neuropsychologist | 12 Davis Ave, Poughkeepsie, NY 12603-2408 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1790345189 | Nirja Kumar | Counselor | 514 Height Ave, Poughkeepsie, NY 12603 | 2019-06-18 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1871066670 | Heather Greer Belding-wilson | Dietitian, Registered | 76 Firemen's Way, Poughkeepsie, NY 12603 | 2019-01-04 |
| 1861968927 | Cynthia Lee Specht | Registered Nurse | 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 | 2018-10-16 |
| 1740772177 | Courtney W Albert, Mental Health Counseling, Pllc | Counselor | 2 - 4 Austin Court, Poughkeepsie, NY 12603 | 2018-06-01 |
| 1649797820 | Kaizen Physical Therapy P.l.l.c. | Clinic/Center | 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 | 2017-08-28 |
| 1740704998 | Kimberly Cwik | Licensed Practical Nurse | 14 Westend Avenue, Poughkeepsie, NY 12603 | 2017-07-31 |
| 1114389426 | Gina Huss | Case Manager/Care Coordinator | 6 Deer Run Rd, Poughkeepsie, NY 12603 | 2016-03-25 |
| Find all providers in zip 12603 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770016545 | John H Washington IIi | Dentist | 19 Baker Ave Ste 205, Poughkeepsie, NY 12601-1375 | 2017-04-07 |
| 1457734436 | Daniel Gasperini | Dentist | 29 Fox St Ste 301, Poughkeepsie, NY 12601-4714 | 2015-07-08 |
| 1558785410 | Reuven Sherman | Dentist | 2507 South Rd Ste 105, Poughkeepsie, NY 12601-5479 | 2014-02-13 |
| 1225383771 | Charisse A Leonidas | Dentist | 2020 South Rd, Poughkeepsie, NY 12601-7210 | 2012-07-20 |
| 1114283199 | Joseph George Dell Jr. | Dentist | 2668 South Road, Poughkeepsie, NY 12601 | 2012-04-04 |
| 1164626909 | Lina Angiolillo | Dentist | 11 Market St, Poughkeepsie, NY 12601-3241 | 2007-06-14 |
| 1891996229 | Anthony John Angiolillo | Dentist | 11 Market Street, Suite 208, Poughkeepsie, NY 12601 | 2007-05-31 |
| 1528270709 | Stuart Abraham Kofsky | Dentist | 452 Noxon Rd, Poughkeepsie, NY 12603-3755 | 2007-05-03 |
| 1316082464 | Theodore Seyena Susu | Dentist | 695 Dutchess Turnpike Ste. 104, Poughkeepsie, NY 12603 | 2007-02-20 |
| 1255448387 | Richard K Whalen | Dentist | 46 Fox Street, Suite 3, Poughkeepsie, NY 12601 | 2006-08-24 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
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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.