DR. PHILIP JOEL GROSS (NPI# 1336218403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336218403 |
Entity Type | Individual |
Full Name | DR. PHILIP JOEL GROSS |
Credential | DDS |
Practice Address |
101 Sw Main St Ste 290 Portland OR 97204-3228 |
Practice Telephone | 5032235125 |
Practice Fax Number | 5032216915 |
Mailing Telephone | 5032235125 |
Mailing Fax Number | 5032216915 |
Enumeration Date | 2006-11-06 |
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 |
D5464 | OR | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427194372 | Philip Lloyd Gross | Dentist | 21 Second Ave, Rensselaer, NY 12144 | 2007-01-29 |
1972601367 | Philip A Gross | Dentist | 2610 Ocean Parkway, L1 L2, Brooklyn, NY 11235 | 2006-09-20 |
1295771939 | Philip James Gross | Optometrist | 820 Walker Road, Dover, DE 19904 | 2006-06-21 |
1063428332 | Philip N. Gross | Marriage & Family Therapist | 23 Sherman St, Fairfield, CT 06824-5821 | 2006-07-31 |
Street Address |
101 SW MAIN ST STE 290 |
City | PORTLAND |
State | OR |
Zip Code | 97204-3228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619313111 | Sonali Patel | Marriage & Family Therapist | 101 Sw Main St, Suite 1950, Portland, OR 97204-3228 | 2013-05-11 |
1962845453 | Geelan Dental Care LLC | Dental Hygienist | 101 Sw Main St, Suite 290, Portland, OR 97204-3228 | 2013-04-15 |
1518165976 | Katherine Anne Powell | Nurse Practitioner | 101 Sw Main St, Suite 1950, Portland, OR 97204-3228 | 2007-07-06 |
1568672434 | Jessie Isis Barr Harris | Counselor | 101 Sw Main St, Suite 1950, Portland, OR 97204-3228 | 2007-05-22 |
1790857894 | Dale Edward Canfield | Dentist | 101 Sw Main St, #290, Portland, OR 97204-3228 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
Find all providers in zip 97204 |
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 |
---|---|---|---|---|
1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
Find all providers in PORTLAND |
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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.