DR. GARY ALLEN GROFF (NPI# 1174653406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174653406 |
| Entity Type | Individual |
| Full Name | DR. GARY ALLEN GROFF |
| Credential | DDS |
| Practice Address |
1100 E Ohio St Clinton MO 64735 |
| Practice Telephone | 6608856911 |
| Practice Fax Number | 6608856932 |
| Mailing Telephone | 6608856911 |
| Mailing Fax Number | 6608856932 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14183 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | P11141024 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878560 | Gary H. Groff | Family Medicine | 2819 Denny Ave., Pascagoula, MS 39581-5301 | 2005-08-11 |
| Street Address |
1100 E OHIO ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| 1154427516 | Kreisler Clnic Pharmacy | Pharmacy | 1602 N. Second St., Clinton, MO 64735 | 2006-09-15 |
| Find all providers in zip 64735 | ||||
| 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 |
|---|---|---|---|---|
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1508386616 | Blaire Alford | Dentist | 380 Highway 80 E Ste A, Clinton, MS 39056-4748 | 2017-06-21 |
| 1811427677 | Total You Family Dentistry | Dentist | 9135 Piscataway Rd Ste 105, Clinton, MD 20735-2548 | 2017-06-14 |
| 1114386802 | Christopher A Fallago | Dentist | 8 E Main St Ste 202, Clinton, CT 06413-2058 | 2016-02-23 |
| 1245636174 | Rick Canty | Dentist | 201a S Washington St, Clinton, KY 42031-1440 | 2014-11-04 |
| 1962830349 | Drs. Roh, Park and Hwang, LLC | Dentist | 7700 Old Branch Ave Ste E102, Clinton, MD 20735-1628 | 2013-10-23 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1346504230 | Paul N Singh | Dentist | 8913 Woodyard Rd, Clinton, MD 20735-4257 | 2012-06-26 |
| 1497040489 | Beautiful Smiles, L.L.C. | Dentist | 9001 Stuart Ln, Clinton, MD 20735-2744 | 2011-06-17 |
| Find all providers in CLINTON | ||||
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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.