Greg A Shoup is a Dentist in Norcross, Georgia. Greg A Shoup practices all healthcare services and medical treatments related to Dentist. The NPI Number for Greg A Shoup is 1659310670. The last update date is 2007-07-08.
Greg A Shoup's current location address is 3294 Medlock Bridge Rd, Norcross, Georgia. You can contact this provider via phone number 7704488882 and fax number 7704465511. The mailing address for Greg A Shoup is 3294 Medlock Bridge Rd, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg A Shoup |
|---|---|
| Address | 3294 Medlock Bridge Rd, Norcross, Georgia |
| Phone Number | 7704488882 |
| Fax Number | 7704465511 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1659310670 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3294 Medlock Bridge Rd |
|---|---|
| City | Norcross |
| State | Georgia (GA) |
| Post Code | 300923082 |
| Phone Number | 7704488882 |
| Fax Number | 7704465511 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN009834 |
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Definition: 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: denti |
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What is the Greg A Shoup's 1659310670?
The Greg A Shoup's NPI (National Provider Identifier) Number is 1659310670. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Greg A Shoup located?
The Greg A Shoup is located at 3294 Medlock Bridge Rd, Norcross, GA 300923082.
What is Greg A Shoup's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Greg A Shoup's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Greg A Shoup receive the assignment of its 1659310670 from the Centers for Medicare & Medicaid Services?
The Greg A Shoup was issued its 1659310670 by the Centers for Medicare & Medicaid Services on 2006-06-05.
When was the information regarding Greg A Shoup, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Greg A Shoup, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.