Jordan Holt Gray in Bessemer - Prosthodontics
Jordan Holt Gray - NPI 1073607404
Jordan Holt Gray is a Prosthodontics in Bessemer, Alabama. Jordan Holt Gray practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Jordan Holt Gray is 1073607404. The last update date is 2016-05-11.
Jordan Holt Gray's current location address is 5751 Pocahontas Road, Bessemer, Alabama. You can contact this provider via phone number 2054774242. The mailing address for Jordan Holt Gray is 5751 Pocahontas Road, Bessemer, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Holt Gray |
|---|---|
| Address | 5751 Pocahontas Road, Bessemer, Alabama |
| Phone Number | 2054774242 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073607404 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2016-05-11 |
Provider Mailing Address Detail
| Address | 5751 Pocahontas Road |
|---|---|
| City | Bessemer |
| State | Alabama (AL) |
| Post Code | 350225478 |
| Phone Number | 2054774242 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 5360 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5360 | AL | LICENSE NUMBER |
Post Comment/ Review Below
What is the Jordan Holt Gray's 1073607404?
The Jordan Holt Gray's NPI (National Provider Identifier) Number is 1073607404. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jordan Holt Gray's facilities are geographically located?
The facilities of Jordan Holt Gray are physically situated at the following location: 5751 Pocahontas Road, Bessemer, AL, 350225478.
What is Jordan Holt Gray's area of expertise and its corresponding taxonomy classification?
The Jordan Holt Gray's field of specialization is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jordan Holt Gray receive the assignment of its 1073607404 from the Centers for Medicare & Medicaid Services?
The Jordan Holt Gray was issued its 1073607404 by the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the Jordan Holt Gray's information last updated?
The Jordan Holt Gray's information was last updated on 2016-05-11.