Gregory Joseph Groshan in Jacksonville - Oral And Maxillofacial Surgery
Gregory Joseph Groshan - NPI 1184760480
Gregory Joseph Groshan is a Oral And Maxillofacial Surgery in Jacksonville, Florida. Gregory Joseph Groshan practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gregory Joseph Groshan is 1184760480. The last update date is 2009-02-03.
Gregory Joseph Groshan's current location address is 4131 University Blvd S, Jacksonville, Florida. You can contact this provider via phone number 9047373617 and fax number 9047378326. The mailing address for Gregory Joseph Groshan is 4131 University Blvd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Joseph Groshan |
|---|---|
| Address | 4131 University Blvd S, Jacksonville, Florida |
| Phone Number | 9047373617 |
| Fax Number | 9047378326 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1184760480 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2009-02-03 |
Provider Mailing Address Detail
| Address | 4131 University Blvd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322164326 |
| Phone Number | 9047373617 |
| Fax Number | 9047378326 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN0013337 |
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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 Gregory Joseph Groshan's 1184760480?
The Gregory Joseph Groshan's NPI (National Provider Identifier) Number is 1184760480. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gregory Joseph Groshan?
The Gregory Joseph Groshan is physically situated at 4131 University Blvd S, in the city of Jacksonville, state of FL, with the postal code 322164326.
What is Gregory Joseph Groshan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Joseph Groshan's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Gregory Joseph Groshan receive its 1184760480 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Joseph Groshan was assigned its 1184760480 by the Centers for Medicare & Medicaid Services on 2007-01-30.
As of what date were the Gregory Joseph Groshan's details last updated?
The information pertaining to the Gregory Joseph Groshan, including its address, specialty, and other details, was most recently updated on 2009-02-03.
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