MS. RENDA R. GROSS (NPI# 1184789380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184789380 |
| Entity Type | Individual |
| Full Name | MS. RENDA R. GROSS |
| Credential | R.D.H. |
| Practice Address |
106 E Broad St Savannah GA 31401-2917 |
| Practice Telephone | 9125271000 |
| Mailing Telephone | 9125271000 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH004867 | GA | Dental Providers |
| Street Address |
106 E BROAD ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228038 | Alvin Deron Jackson | Family Medicine | 106 E Broad St, Savannah, GA 31401-2917 | 2006-01-04 |
| 1013552504 | Anquetta Monique Cooper | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-08 |
| 1225672041 | Victoria D Forbes | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-05 |
| 1225689540 | Tonya Davis | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-09-27 |
| 1467967877 | Laquita Holt | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-12-07 |
| 1366963837 | Wendelyn Monique Brown | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-07-05 |
| 1346776002 | Nancy Flategraff | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-05-02 |
| 1689109266 | Torrie Charell Battle | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-04-20 |
| 1447798988 | Michelle Dubberly-hobart | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-02-04 |
| 1649714981 | Adrian Elam | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548237761 | Delberta M Cronbaugh | Dental Hygienist | 301a E Price Ave, Savannah, MO 64485-1739 | 2006-03-07 |
| 1396346052 | Amy Johnson | Dental Hygienist | 1480 Florence Rd, Savannah, TN 38372-5205 | 2020-11-07 |
| 1013552504 | Anquetta Monique Cooper | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-08 |
| 1225672041 | Victoria D Forbes | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-05 |
| 1225689540 | Tonya Davis | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-09-27 |
| 1780129940 | Lisa Woodard Martin | Dental Hygienist | 107 Fahm St, Savannah, GA 31401-2391 | 2016-12-27 |
| 1780037473 | Andre Lamar Young | Dental Hygienist | 230 Duncan Dr Bldg 1440, Savannah, GA 31409-5107 | 2016-07-18 |
| 1912357468 | Lorraine Middleton Ross | Dental Hygienist | 230 Duncan Dr, Bldg 1440, Savannah, GA 31409-5107 | 2016-06-15 |
| 1417307968 | Alvinette Glover | Dental Hygienist | 230 Duncan Dr, Bldg 1440, Savannah, GA 31409-5107 | 2016-06-15 |
| 1912373515 | Lisa Roberts | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2015-08-18 |
| Find all providers in SAVANNAH | ||||
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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.