DR. LISA T GROSSO (NPI# 1992990832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992990832 |
Entity Type | Individual |
Full Name | DR. LISA T GROSSO |
Credential | DDS, MS |
Practice Address |
2425 East St Ste 16 Concord CA 94520 |
Mailing Address |
2425 East St Ste 16 Concord CA 94520-1926 |
Practice Telephone | 9256762160 |
Practice Fax Number | 9256762165 |
Mailing Telephone | 9256762160 |
Mailing Fax Number | 9256762165 |
Enumeration Date | 2007-09-13 |
Last Update Date | 2007-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
42050 | CA | Dental Providers |
Street Address |
2425 EAST ST STE 16 |
City | CONCORD |
State | CA |
Zip Code | 94520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
Find all providers in zip 94520 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568935153 | Periodontology Associates of Concord, Pllc | Dentist | 290 Baker Ave Ste 3, Concord, MA 01742-2189 | 2019-01-07 |
1992037642 | R. Bailey, Jr, Dmd, Pa | Dentist | 6044 Bayfield Parkway, Concord, NC 28027 | 2010-02-05 |
1881846236 | Robee Bailey Jr. | Dentist | 6044 Bayfield Pkwy, Concord, NC 28027-7597 | 2008-10-16 |
1740339605 | Austin H Wang | Dentist | 153 Manchester St Suite 5, Concord, NH 03301 | 2007-01-09 |
1164596334 | Farrokh Bashiri | Dentist | 2991 Treat Blvd Ste J, Concord, CA 94518-3604 | 2006-11-20 |
1588751564 | Ronald C Haraguchi | Dentist | 2933 Salvio St, Concord, CA 94519-2534 | 2006-10-09 |
1063732477 | Concorddental Implants &periodontics | Dentist | 290 Baker Ave, S205, Concord, MA 01742-2189 | 2010-06-08 |
1942460100 | Jeffrey Stephen Forgosh | Dentist | 280 Pleasant Street, Concord, NH 03301 | 2008-06-11 |
1952594053 | Nkemjika Susan Obiechina | Dentist | 1851 Sutter St, Concord, CA 94520-2559 | 2007-08-22 |
1942416276 | Jeffrey B Freedman | Dentist | 290 Baker Ave, S103, Concord, MA 01742 | 2007-05-15 |
Find all providers in CONCORD |
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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.