Gretchen Gigi Gorman-Lyden in Bolivia - Dentist
Gretchen Gigi Gorman-Lyden - NPI 1912122573
Gretchen Gigi Gorman-Lyden is a Dentist in Bolivia, North Carolina. Gretchen Gigi Gorman-Lyden practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gretchen Gigi Gorman-Lyden is 1912122573. The last update date is 2022-02-07.
Gretchen Gigi Gorman-Lyden's current location address is 100 Brunswick Medical Center Pkwy Ne, Bolivia, North Carolina. You can contact this provider via phone number 9102539000. The mailing address for Gretchen Gigi Gorman-Lyden is 100 Brunswick Medical Center Pkwy Ne, Bolivia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gretchen Gigi Gorman-Lyden |
|---|---|
| Address | 100 Brunswick Medical Center Pkwy Ne, Bolivia, North Carolina |
| Phone Number | 9102539000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1912122573 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2022-02-07 |
Provider Mailing Address Detail
| Address | 100 Brunswick Medical Center Pkwy Ne |
|---|---|
| City | Bolivia |
| State | North Carolina (NC) |
| Post Code | 284221001 |
| Phone Number | 9102539000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 43204 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12579 | NC | NC STATE DENTAL LICENSE | |
| 43204 | NY | STATE LICENSE |
Post Comment/ Review Below
What is the Gretchen Gigi Gorman-Lyden's 1912122573?
The Gretchen Gigi Gorman-Lyden's NPI (National Provider Identifier) Number is 1912122573. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gretchen Gigi Gorman-Lyden is located?
The Gretchen Gigi Gorman-Lyden is situated at the following address: 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC, 284221001.
What is the Gretchen Gigi Gorman-Lyden's area of specialization and corresponding taxonomy classification?
The Gretchen Gigi Gorman-Lyden's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Gretchen Gigi Gorman-Lyden receive its 1912122573 assignment from the Centers for Medicare & Medicaid Services?
The Gretchen Gigi Gorman-Lyden was assigned its 1912122573 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information regarding Gretchen Gigi Gorman-Lyden, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gretchen Gigi Gorman-Lyden, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-07.