Keith Roger Gronbach in Lafayette - Oral And Maxillofacial Surgery
Keith Roger Gronbach - NPI 1992853204
Keith Roger Gronbach is a Oral And Maxillofacial Surgery in Lafayette, California. Keith Roger Gronbach practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Keith Roger Gronbach is 1992853204. The last update date is 2020-07-22.
Keith Roger Gronbach's current location address is 3799 Mt Diablo Blvd, Lafayette, California. You can contact this provider via phone number 9252834050 and fax number 9252835340. The mailing address for Keith Roger Gronbach is 3799 Mt Diablo Blvd, Lafayette, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Roger Gronbach |
|---|---|
| Address | 3799 Mt Diablo Blvd, Lafayette, California |
| Phone Number | 9252834050 |
| Fax Number | 9252835340 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1992853204 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2020-07-22 |
Provider Mailing Address Detail
| Address | 3799 Mt Diablo Blvd |
|---|---|
| City | Lafayette |
| State | California (CA) |
| Post Code | 945493538 |
| Phone Number | 9252834050 |
| Fax Number | 9252835340 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 44317 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identifier code issued to Keith Roger Gronbach by the Centers for Medicare & Medicaid Services?
The Keith Roger Gronbach has been assigned the NPI (National Provider Identifier) 1992853204 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Keith Roger Gronbach's facilities are situated?
The facilities of Keith Roger Gronbach are physically located at the following address: 3799 Mt Diablo Blvd, Lafayette, CA, 945493538.
What is the Keith Roger Gronbach's area of specialization and corresponding taxonomy classification?
The Keith Roger Gronbach's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
When did the Keith Roger Gronbach receive its 1992853204?
The Keith Roger Gronbach was issued its 1992853204 on 2007-01-05, which is the date when the organization was assigned this unique identifier.
When was the information regarding Keith Roger Gronbach, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Keith Roger Gronbach, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-07-22.