Gary Allen Groff in Clinton - General Practice
Gary Allen Groff - NPI 1174653406
Gary Allen Groff is a General Practice in Clinton, Missouri. Gary Allen Groff practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Allen Groff is 1174653406. The last update date is 2007-07-08.
Gary Allen Groff's current location address is 1100 E Ohio St, Clinton, Missouri. You can contact this provider via phone number 6608856911 and fax number 6608856932. The mailing address for Gary Allen Groff is 1100 E Ohio St, Clinton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Allen Groff |
|---|---|
| Address | 1100 E Ohio St, Clinton, Missouri |
| Phone Number | 6608856911 |
| Fax Number | 6608856932 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1174653406 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 E Ohio St |
|---|---|
| City | Clinton |
| State | Missouri (MO) |
| Post Code | 64735 |
| Phone Number | 6608856911 |
| Fax Number | 6608856932 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14183 |
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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 |
|---|---|---|---|
| P11141024 | MO | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gary Allen Groff by the Centers for Medicare & Medicaid Services?
The Gary Allen Groff has been issued the NPI (National Provider Identifier) 1174653406, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gary Allen Groff is located?
The Gary Allen Groff is situated at the following address: 1100 E Ohio St, Clinton, MO, 64735.
What is Gary Allen Groff's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Allen Groff's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Gary Allen Groff receive its 1174653406 assignment from the Centers for Medicare & Medicaid Services?
The Gary Allen Groff was assigned its 1174653406 on 2007-03-06, 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 details related to Gary Allen Groff most recently updated or revised?
The information pertaining to Gary Allen Groff, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.