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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH1175 | SD | Dental Providers |
Street Address |
1306 S LAKE DR |
City | WATERTOWN |
State | SD |
Zip Code | 57201-5450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
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 |
Find all providers in zip 57201 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on TUCKER WILLIAM GROSS.
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.