SAMANTHA KAY GROSS DMD
NPI 1235869199
Dentist - General Practice in Du Quoin, IL

Q: What is Samantha Gross's NPI number?

The NPI number for Samantha Gross is 1235869199. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Q: What is Samantha Gross's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Gross was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2022

1226 S WASHINGTON ST, DU QUOIN, IL 62832(618) 542-8832 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Kay Gross Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA KAY GROSS DMD (NPI 1235869199) is an individual general practice provider in Du Quoin, Illinois, licensed in Illinois (019.033723) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1235869199

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSAMANTHA KAY GROSSCredential: DMD

Location Address1226 S WASHINGTON STDu Quoin, IL 62832-3853

Mailing Address8490 Emling RdDu Quoin, IL 62832-3808 · (618) 318-6112

Phone(618) 542-8832

Sole ProprietorNo

Enumeration DateJune 14, 2022

NPPES CertifiedJune 14, 2022

✔ NPI 1235869199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.033723

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1226 S WASHINGTON ST, Du Quoin, IL 62832

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUQUOIN DENTAL ASSOCIATES, LTD.

Clinic/Center (Dental)

1226 S WASHINGTON ST
DU QUOIN, IL 62832

Perry County (618) 542-8832

DR. ISAAC E. DAVISON D.D.S.

Dentist (General Practice)

1226 S WASHINGTON ST
DU QUOIN, IL 62832

Perry County (618) 542-8832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Gross's NPI number?

The NPI number for Samantha Gross is 1235869199. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Samantha Gross located?

Samantha Gross practices at 1226 S Washington St, Du Quoin, IL 62832. The listed phone number is (618) 542-8832.

What is Samantha Gross's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Samantha Gross was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.