Gary R Greenwald is a Periodontics in Lilburn, Georgia. Gary R Greenwald practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gary R Greenwald is 1356478473. The last update date is 2007-07-08.
Gary R Greenwald's current location address is 656 Indian Trail Lilburn Rd Nw, Lilburn, Georgia. You can contact this provider via phone number 7703812600 and fax number 7709310340. The mailing address for Gary R Greenwald is 656 Indian Trail Lilburn Rd Nw, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary R Greenwald |
|---|---|
| Address | 656 Indian Trail Lilburn Rd Nw, Lilburn, Georgia |
| Phone Number | 7703812600 |
| Fax Number | 7709310340 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356478473 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 656 Indian Trail Lilburn Rd Nw |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300476837 |
| Phone Number | 7703812600 |
| Fax Number | 7709310340 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 9733 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary R Greenwald by the Centers for Medicare & Medicaid Services?
The Gary R Greenwald has been issued the NPI (National Provider Identifier) 1356478473 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gary R Greenwald?
The Gary R Greenwald is situated at 656 Indian Trail Lilburn Rd Nw, in the city of Lilburn, state of GA, with the zip code 300476837.
What is Gary R Greenwald's area of expertise and its corresponding taxonomy classification?
The Gary R Greenwald's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gary R Greenwald receive its 1356478473 assignment from the Centers for Medicare & Medicaid Services?
The Gary R Greenwald was assigned its 1356478473 by the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date were the details pertaining to Gary R Greenwald last refreshed?
The information related to the Gary R Greenwald, including its address, specialty, and other relevant details, was last updated on 2007-07-08.