Gregory Lee Gullikson in Titusville - General Practice
Gregory Lee Gullikson - NPI 1851405732
Gregory Lee Gullikson is a General Practice in Titusville, Florida. Gregory Lee Gullikson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Lee Gullikson is 1851405732. The last update date is 2007-07-08.
Gregory Lee Gullikson's current location address is 1853 Knox Mcrae Dr, Titusville, Florida. You can contact this provider via phone number 3212672934 and fax number 3212673698. The mailing address for Gregory Lee Gullikson is 1853 Knox Mcrae Dr, Titusville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Lee Gullikson |
|---|---|
| Address | 1853 Knox Mcrae Dr, Titusville, Florida |
| Phone Number | 3212672934 |
| Fax Number | 3212673698 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1851405732 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1853 Knox Mcrae Dr |
|---|---|
| City | Titusville |
| State | Florida (FL) |
| Post Code | 327805492 |
| Phone Number | 3212672934 |
| Fax Number | 3212673698 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN0011987 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 63699 | FL | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gregory Lee Gullikson by the Centers for Medicare & Medicaid Services?
The Gregory Lee Gullikson has been assigned the NPI (National Provider Identifier) 1851405732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Gregory Lee Gullikson is geographically located?
The Gregory Lee Gullikson is physically situated at the following location: 1853 Knox Mcrae Dr, Titusville, FL, 327805492.
What is the area of specialization for Gregory Lee Gullikson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory Lee Gullikson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851405732 to Gregory Lee Gullikson?
The Centers for Medicare & Medicaid Services assigned the 1851405732 to Gregory Lee Gullikson on 2006-08-18.
As of what date were the details pertaining to Gregory Lee Gullikson last refreshed?
The information related to the Gregory Lee Gullikson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.