Timothy Alan Grubb in Conyers - Endodontics
Timothy Alan Grubb - NPI 1215944749
Timothy Alan Grubb is a Endodontics in Conyers, Georgia. Timothy Alan Grubb practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Timothy Alan Grubb is 1215944749. The last update date is 2007-07-08.
Timothy Alan Grubb's current location address is 976 E Freeway Dr Se, Conyers, Georgia. You can contact this provider via phone number 7704831331 and fax number 7709792226. The mailing address for Timothy Alan Grubb is 976 E Freeway Dr Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Alan Grubb |
|---|---|
| Address | 976 E Freeway Dr Se, Conyers, Georgia |
| Phone Number | 7704831331 |
| Fax Number | 7709792226 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215944749 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 976 E Freeway Dr Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300945965 |
| Phone Number | 7704831331 |
| Fax Number | 7709792226 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DN008863 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the Timothy Alan Grubb's unique identification number?
The Timothy Alan Grubb has been assigned the NPI (National Provider Identifier) Number 1215944749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Timothy Alan Grubb's physical address?
The Timothy Alan Grubb is physically located at 976 E Freeway Dr Se, in the city of Conyers, GA, with the postal code 300945965.
What is Timothy Alan Grubb's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Alan Grubb's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
On what date did Timothy Alan Grubb receive its 1215944749 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Alan Grubb was assigned its 1215944749 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Timothy Alan Grubb's details last updated?
The information pertaining to the Timothy Alan Grubb, including its address, specialty, and other details, was most recently updated on 2007-07-08.