Gross and Flores DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35977 Issued in NY

Legal business name

GROSS AND FLORES DDS PC

Practice address

12 Davis Ave
Poughkeepsie, NY 12603-2408

Phone

(845) 473-4565

NPI assigned

Mar 29, 2008

Last updated

Nov 16, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Corazon Flores, DDSNPI 1679629125

Title

DDS/Vice President

Phone

(845) 452-6110

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corazon Flores, DDS

  • Dentist
  • Poughkeepsie, NY
  • NPI 1679629125
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1730351800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DAVIS AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-473-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DAVIS AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-473-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSS AND FLORES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_title_or_position": "DDS/VICE PRESIDENT",
        "authorized_official_telephone_number": "845-452-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "35977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01934963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Clarence Anthony Grimshaw, PA-C
• Vanessa Grimsland, RN
• Elena Grishkevich, MD
• Frankie Grixti
• Patricia Shannon Grogan, LPN
• Alan Gross, M.D.
• Theodore C Gross, DDS
• Gary David Grossman, MD
• Joanne Growney, RN, ANP-BC
• Samuel Grubb

• General Practice Dentistry in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.