GORDON S. GROISSER, DDS, MSD (NPI# 1790055804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790055804 |
| Entity Type | Organization |
| Organization Name | GORDON S. GROISSER, DDS, MSD |
| Other Organization Name | VILLAGE ORTHODONTICS |
| Practice Address |
18638 Crestwood Drive Lower Level Hagerstown MD 21742 |
| Practice Telephone | 3013932680 |
| Practice Fax Number | 3013932682 |
| Mailing Telephone | 3013932680 |
| Mailing Fax Number | 3013932682 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | DR. GORDON S GROISSER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3013932680 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | Y |
| Parent Organization Name | GORDON S. GROISSER, DDS, MSD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13507 | MD | Dental Providers |
| Other Name | Type Code |
|---|---|
| Village Orthodontics | Doing Business As Name - Organization |
| Street Address |
18638 CRESTWOOD DRIVE LOWER LEVEL |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467631119 | Jeffrey Pearlman | Dentist | 18638 Crestwood Drive, Hagerstown, MD 21742 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851502884 | Wilson Orthodontics, P.a. | Dentist | 1118 Klick Way, Hagerstown, MD 21742-3469 | 2007-05-24 |
| 1033490263 | Antietam Orthodontics | Dentist | 322 E Antietam St, Suite103, Hagerstown, MD 21740-5794 | 2011-09-01 |
| 1790088136 | Timothy Gerard Wilson | Dentist | 1118 Klick Way, Hagerstown, MD 21742-3469 | 2010-12-07 |
| 1255510590 | Robinwood Smiles LLC | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2007-11-02 |
| 1275670952 | Ronald George Toothman | Dentist | 81 N Edgewood Dr, Hagerstown, MD 21740-6501 | 2007-01-31 |
| 1487677324 | Paul Thomas Thomopulos | Dentist | 322 E Antietam St, Hagerstown, MD 21740 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1619590668 | Gaithersburg Ortho LLC | Dentist | 814 W Diamond Ave Ste 300, Gaithersburg, MD 20878-1448 | 2020-05-26 |
| 1043859119 | Orthoroks, LLC | Dentist | 100 Shawan Rd Ste E, Hunt Valley, MD 21030-1459 | 2020-01-06 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1376187336 | Chevy Chase Orthodontics | Dentist | 8401 Connecticut Ave Ste 620, Chevy Chase, MD 20815-5803 | 2019-11-03 |
| 1003465477 | Meghan Mcinnes Palmer | Dentist | 8322 Bellona Ave Ste 310, Towson, MD 21204-2077 | 2019-09-09 |
| 1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
| 1275028326 | John William Serino | Dentist | 538 Cynwood Dr Ste 1, Easton, MD 21601-3887 | 2018-06-29 |
| 1487146353 | Christopher Jason Scott | Dentist | 10045 Baltimore National Pike Ste A1, Ellicott City, MD 21042-3673 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on GORDON S. GROISSER, DDS, MSD.
| 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.