JESSE GROSSMAN (NPI# 1225580962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225580962 |
| Entity Type | Individual |
| Full Name | JESSE GROSSMAN |
| Credential | RDH |
| Practice Address |
844 6th St Clarkston WA 99403-2013 |
| Practice Telephone | 2088488300 |
| Practice Fax Number | 2088488306 |
| Mailing Telephone | 2088488300 |
| Mailing Fax Number | 2088488306 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH60682830 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291579 | Jesse Grossman | Social Worker | 400 Forest Avenue, Buffalo, NY 14213 | 2018-07-06 |
| Street Address |
844 6TH ST |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780740712 | Scott W Joslin | Dentist | 844 6th St, Clarkston, WA 99403-2013 | 2006-12-27 |
| 1033720156 | Grace Heise | Dentist | 844 6th St, Clarkston, WA 99403-2013 | 2020-08-12 |
| 1205480688 | Nickole Dawn Corey | Registered Nurse | 844 6th St, Clarkston, WA 99403-2013 | 2019-07-24 |
| 1679139521 | Omar Elhassadi | Dentist | 844 6th St, Clarkston, WA 99403 | 2019-05-16 |
| 1437658309 | Amy Jean Collins | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2018-02-06 |
| 1548773385 | Joseph Farayi Moyosviyi | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2017-11-15 |
| 1487170999 | Mickey Dean Smith | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2017-08-16 |
| 1033595574 | Ahmed H. Muftah El Zawi | Dentist | 844 6th St, Clarkston, WA 99403 | 2015-08-06 |
| 1619373180 | Luna Subedi | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2014-11-11 |
| 1083041719 | Lonnie Druffel | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2013-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| 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 |
|---|---|---|---|---|
| 1437658309 | Amy Jean Collins | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2018-02-06 |
| 1548773385 | Joseph Farayi Moyosviyi | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2017-11-15 |
| 1487170999 | Mickey Dean Smith | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2017-08-16 |
| 1619373180 | Luna Subedi | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2014-11-11 |
| 1083041719 | Lonnie Druffel | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2013-09-26 |
| 1194026674 | Abbie E Farrell | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807755 | Karen Sloat Parker | Dental Hygienist | 1014 12th Ave N, Edmonds, WA 98020-2511 | 2020-10-05 |
| 1255948030 | Adisa Salaka | Dental Hygienist | 14335 Simonds Rd Ne Apt A303, Kirkland, WA 98034-9277 | 2020-09-25 |
| 1790391951 | Ann Marie O'connor | Dental Hygienist | 620 Glen St Apt 302, Edmonds, WA 98020-3236 | 2020-09-22 |
| 1396359691 | Lindsey Marie Tennant-moore | Dental Hygienist | 6515 5th Ave Ne Apt 202, Seattle, WA 98115-6451 | 2020-09-03 |
| 1356952568 | Stephanie Kleinbrook | Dental Hygienist | 1455 James St, Bellingham, WA 98225-4943 | 2020-08-11 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1487272860 | Diedre Snow Hill | Dental Hygienist | 1950 Pottery Ave Ste 170, Port Orchard, WA 98366-2591 | 2020-07-11 |
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
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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.