TUCKER WILLIAM GROSS


Address: 1306 S Lake Dr, Watertown, SD 57201-5450
Phone: 6052224489

TUCKER WILLIAM GROSS (NPI# 1235577495) 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) 1235577495
Entity Type Individual
Full Name TUCKER WILLIAM GROSS
Credential RDH
Practice Address 1306 S Lake Dr
Watertown
SD 57201-5450
Practice Telephone 6052224489
Mailing Telephone 6052224489
Enumeration Date 2013-06-10
Last Update Date 2013-06-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist DH1175 SD Dental Providers

Office Location

Street Address 1306 S LAKE DR
City WATERTOWN
State SD
Zip Code 57201-5450

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1245878032 Samantha Kay Kratovil Dietitian, Registered 4 19th St Ne, Watertown, SD 57201 2019-12-12
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1023503406 Rhonda Jean Cyre Occupational Therapy Assistant 613 B 1st Ave Se, Watertown, SD 57201 2018-06-27
1083160717 Joyce Anderson Psychologist 1124 Konrady Dr. Ne, Watertown, SD 57201 2016-09-01
1336584630 Jeffrey Alan Dorrity Otolaryngology 1201 Mickelson Dr, Watertown, SD 57201 2013-05-01
1427397389 Vickie Lynn Burchatz Occupational Therapy Assistant 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 2013-02-12
1215292560 Eagle Vision Eyewear Supplier (Equipment, not the service) 906 1/2 9th Ave Se, Watertown, SD 57201 2012-07-11
1669777462 Eve Lynn Hensler Audiologist 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 2011-01-26
1760792261 Maria Redmond Physical Therapist 810 South Maple, Watertown, SD 57201 2010-10-18
1194918995 Colette Wheeler Occupational Therapist 17330, 458th Ave, Watertown, SD 57201 2007-08-24
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699286807 Jamie L Neshkoff Dental Hygienist 20991 Arsenal Street Rd, Watertown, NY 13601-4552 2017-10-14
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
1215264270 Theresa Mary Janke Dental Hygienist 1077 Bayberry Dr, Watertown, WI 53094-4129 2009-11-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467889857 Patti Fuchs Dental Hygienist 903 N Monroe Ave, Pierre, SD 57501-2331 2013-10-01
1902241797 Carmen Kathryn Maher Kraft Dental Hygienist 24276 166th St. Airport Rd., Dental Clinic, Eagle Butte, SD 57625-0590 2013-05-07
1033454962 Melissa Rae Drennon Dental Hygienist 1845 Harmony Heights Ln, 301, Rapid City, SD 57702-6245 2012-12-04
1548513518 Zona Lyn Hornstra Dental Hygienist 4420 E 37th St, Sioux Falls, SD 57103-6556 2012-10-16
1730342304 Deena Elaine Rosario Dental Hygienist 1000 Health Center Road Kyle Health Center 57752, #540, Kyle, SD 57752-0540 2008-07-03
1851575609 Suzanne R Luken Dental Hygienist 12279 Brady Dr, Custer, SD 57730-9160 2007-12-27
1730609868 Jane Phillips Dental Hygienist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2017-06-20
1154862068 Damien Eric Lawhorn Dental Hygienist East Hwy 18, Pine Ridge, SD 57770-1201 2017-03-10
1497107056 Cindy Delong Dental Hygienist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2016-07-07
1205269339 Candi Eileen Sails Dental Hygienist 804 N Euclid Ave, Pierre, SD 57501-1719 2013-08-13
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Competitor

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City WATERTOWN
Zip Code 57201

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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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