Grants Pass Prosthodontics, Pc in Grants Pass - Prosthodontics
Grants Pass Prosthodontics, Pc - NPI 1184749657
Grants Pass Prosthodontics, Pc is a Prosthodontics in Grants Pass, Oregon. Grants Pass Prosthodontics, Pc practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Grants Pass Prosthodontics, Pc is 1184749657. The last update date is 2020-08-22.
Grants Pass Prosthodontics, Pc's current location address is 570 Ne E St, Grants Pass, Oregon. You can contact this provider via phone number 5414762166 and fax number 5414762152. The mailing address for Grants Pass Prosthodontics, Pc is 570 Ne E St, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grants Pass Prosthodontics, Pc |
|---|---|
| Address | 570 Ne E St, Grants Pass, Oregon |
| Phone Number | 5414762166 |
| Fax Number | 5414762152 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Garey John Daniel |
| Credentials | DDS |
| Telephone Number | 5414762166 |
NPI Number Detail
| NPI Number | 1184749657 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 570 Ne E St |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975262326 |
| Phone Number | 5414762166 |
| Fax Number | 5414762152 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | D6932 |
|
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 |
|---|---|---|---|
| 118677-93 | OR | CORPORATION NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Grants Pass Prosthodontics, Pc by the Centers for Medicare & Medicaid Services?
The Grants Pass Prosthodontics, Pc has been assigned the NPI (National Provider Identifier) 1184749657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Grants Pass Prosthodontics, Pc's facilities are geographically located?
The facilities of Grants Pass Prosthodontics, Pc are physically situated at the following location: 570 Ne E St, Grants Pass, OR, 975262326.
What is Grants Pass Prosthodontics, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grants Pass Prosthodontics, Pc's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did Grants Pass Prosthodontics, Pc receive its 1184749657 assignment from the Centers for Medicare & Medicaid Services?
The Grants Pass Prosthodontics, Pc was assigned its 1184749657 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Grants Pass Prosthodontics, Pc most recently updated?
The details pertaining to the Grants Pass Prosthodontics, Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.