GORDON D. GROSS, D.D.S.,P.C.


Address: 2715 W Northern Ave, #102, Phoenix, AZ 85051-6641
Phone: 6029950280

GORDON D. GROSS, D.D.S.,P.C. (NPI# 1548482300) 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) 1548482300
Entity Type Organization
Organization Name GORDON D. GROSS, D.D.S.,P.C.
Other Organization Name NORTHERN AVENUE DENTISTRY
Practice Address 2715 W Northern Ave
#102
Phoenix
AZ 85051-6641
Practice Telephone 6029950280
Practice Fax Number 6028649161
Mailing Telephone 6029950280
Mailing Fax Number 6028649161
Enumeration Date 2007-05-02
Last Update Date 2020-08-22
Authorized Official Name DR. GORDON D GROSS (OWNER)
Authorized Official Telephone 6029950280
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ UNITED CONCORDIA 824144 01

Other Provider/Organization Names

Other Name Type Code
Northern Avenue Dentistry Doing Business As Name - Organization

Office Location

Street Address 2715 W NORTHERN AVE
#102
City PHOENIX
State AZ
Zip Code 85051-6641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629038955 Gordon D Gross Dentist 2715 W Northern Ave, Suite 102, Phoenix, AZ 85051-6641 2006-03-23
1295877769 Linda Zimmerman Dentist 2715 W Northern Ave, Phoenix, AZ 85051-6641 2007-02-13
1447210919 Kyra D Lee Dentist 2715 W Northern Ave, Suite 102, Phoenix, AZ 85051-6641 2006-03-27

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NPI Name Taxonomy Address Enumeration
1184250383 Jhajaira Elizabeth Cadenas Optometrist 3937 W Northview Ave, Phoenix, AZ 85051 2020-03-19
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1558832683 Liberty Home LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9649 N 36th Ave, Phoenix, AZ 85051 2018-12-16
1518459080 Addie Robin Diroberts Counselor 10240 W. 31st Ave, Phoenix, AZ 85051 2018-05-31
1093239816 Jason Allan Parker Licensed Practical Nurse 3310 West Cheryl Drive, Phoenix, AZ 85051 2017-08-02
1588019145 Vanessa Eloise Hernandez Counselor 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 2016-05-02
1912230178 Mozelle Barr Martin Counselor 3734 W. Vista Ave., Phoenix, AZ 85051 2009-09-04
1316184542 Tom Sowash Od & Associates PC Optometrist 9617 North Parkway West, #1160, Phoenix, AZ 85051 2009-01-09
1609026913 Luma Z Sayegh Dentist 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 2008-09-23
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1255946257 Tatum Point Dentistry LLC Clinic/Center 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 2020-09-15
1003421009 Solterra Dentistry LLC Clinic/Center 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 2020-09-15
1336751536 Smile Nuvo Clinic/Center 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 2020-08-19
1942821301 Family and Kids Dental LLC Clinic/Center 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400 2020-04-27
1003458688 Uptown Pediatric Dental Group, Pllc Clinic/Center 1515 E Missouri Ave Ste 103, Phoenix, AZ 85014-2443 2019-10-15
1538720818 Scott A. Simpson Dds Pllc Clinic/Center 14231 N 7th St Ste A14231n7, Phoenix, AZ 85022-4360 2019-06-26
1992362891 Lemon Tree Dentistry LLC Clinic/Center 1985 W Happy Valley Rd Ste 115, Phoenix, AZ 85085-2888 2019-05-26
1457813768 Singh Smile Care Clinic/Center 3201 W Peoria Ave Ste A103, Phoenix, AZ 85029-4609 2019-04-04
1710447370 Minted Dental Clinic/Center 21050 N Tatum Blvd Ste 200, Phoenix, AZ 85050-4262 2019-03-20
1679032197 Denkha Dentistry, LLC Clinic/Center 1601 E Bell Rd Ste A13, Phoenix, AZ 85022-6254 2019-03-14
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Competitor

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City PHOENIX
Zip Code 85051

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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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