Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770639213 Individual Practitioner Male Practitioner

Dr. Theodore C Gross , DDS

Dentist • Poughkeepsie, NY

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Gross, DDS is a registered healthcare professional specializing in Dentist in Poughkeepsie, NY. Practice services are available at 12 DAVIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Davis Ave

Poughkeepsie, NY 12603

Telephone 8454734565
Fax 8454841721
Associated Practice Facility / Clinic
🏢 Gross And Flores Dds Pc Facility NPI 1730351800

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Poughkeepsie, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
27 Specialists

Practicing in Poughkeepsie, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 036441

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

State License NY 036441

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00722376 (NY)

Secondary Practice Locations

939 Route 376 Ste 1

Wappingers Falls, NY 125907612

Phone: 8452239987

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1609053321

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2017

Registered at 12 DAVIS AVE, POUGHKEEPSIE, NY 12603 (Tel: 8454734565)

📍
Updated Business Mailing Address November 05, 2017

Registered at 12 DAVIS AVE, POUGHKEEPSIE, NY 12603 (Tel: 8454734565)

👤
Provider Name / Credentials Updated November 05, 2017

Recorded as THEODORE GROSS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2017

Dentist (License #036441 in NY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12 DAVIS AVE, POUGHKEEPSIE, NY 12603 (Tel: 8454734565)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12 DAVIS AVE, POUGHKEEPSIE, NY 12603 (Tel: 8454734565)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE GROSS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #036441 in NY)

🟢
Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770639213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: May 16, 2019
Sole Proprietor: Yes

Mailing Address

12 Davis Ave

Poughkeepsie, NY 12603

Phone: 8454734565

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.