Gordon Elliott Krueger in St Petersburg - Prosthodontics
Gordon Elliott Krueger - NPI 1962543454
Gordon Elliott Krueger is a Prosthodontics in St Petersburg, Florida. Gordon Elliott Krueger practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Gordon Elliott Krueger is 1962543454. The last update date is 2007-07-08.
Gordon Elliott Krueger's current location address is 6740 Crosswinds Dr N, St Petersburg, Florida. You can contact this provider via phone number 7273846533 and fax number 7273842441. The mailing address for Gordon Elliott Krueger is 6740 Crosswinds Dr N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Elliott Krueger |
|---|---|
| Address | 6740 Crosswinds Dr N, St Petersburg, Florida |
| Phone Number | 7273846533 |
| Fax Number | 7273842441 |
| Sole Proprietor | Y |
| Credentials | DDS., MS |
NPI Number Detail
| NPI Number | 1962543454 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6740 Crosswinds Dr N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337108606 |
| Phone Number | 7273846533 |
| Fax Number | 7273842441 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | DN0011297 |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Gordon Elliott Krueger?
The Gordon Elliott Krueger has been issued the NPI (National Provider Identifier) 1962543454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Gordon Elliott Krueger?
The Gordon Elliott Krueger is situated at 6740 Crosswinds Dr N, in the city of St Petersburg, state of FL, with the zip code 337108606.
What is the Gordon Elliott Krueger's specialty and taxonomy code?
The Gordon Elliott Krueger's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962543454 to Gordon Elliott Krueger?
The Gordon Elliott Krueger received its 1962543454 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date were the details pertaining to Gordon Elliott Krueger last refreshed?
The information related to the Gordon Elliott Krueger, including its address, specialty, and other relevant details, was last updated on 2007-07-08.