Gordon Ernest Gruen in Memphis - Oral And Maxillofacial Pathology
Gordon Ernest Gruen - NPI 1629183116
Gordon Ernest Gruen is a Oral And Maxillofacial Pathology in Memphis, Tennessee. Gordon Ernest Gruen practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Gordon Ernest Gruen is 1629183116. The last update date is 2007-07-08.
Gordon Ernest Gruen's current location address is 780 Ridge Lake Blvd, Memphis, Tennessee. You can contact this provider via phone number 9016828431 and fax number 9016822345. The mailing address for Gordon Ernest Gruen is 780 Ridge Lake Blvd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Ernest Gruen |
|---|---|
| Address | 780 Ridge Lake Blvd, Memphis, Tennessee |
| Phone Number | 9016828431 |
| Fax Number | 9016822345 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629183116 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 780 Ridge Lake Blvd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381209426 |
| Phone Number | 9016828431 |
| Fax Number | 9016822345 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | DS 1783 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2007914 | TN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gordon Ernest Gruen by the Centers for Medicare & Medicaid Services?
The Gordon Ernest Gruen has been issued the NPI (National Provider Identifier) 1629183116 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gordon Ernest Gruen is geographically located?
The Gordon Ernest Gruen is physically situated at the following location: 780 Ridge Lake Blvd, Memphis, TN, 381209426.
What is Gordon Ernest Gruen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gordon Ernest Gruen's specialized field of practice is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0106X.
On what date was the 1629183116 assigned to Gordon Ernest Gruen?
The Gordon Ernest Gruen was issued its 1629183116 on 2006-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gordon Ernest Gruen's details last updated?
The information pertaining to the Gordon Ernest Gruen, including its address, specialty, and other details, was most recently updated on 2007-07-08.