John R Gissal in Portage - Oral And Maxillofacial Surgery
John R Gissal - NPI 1780645804
John R Gissal is a Oral And Maxillofacial Surgery in Portage, Michigan. John R Gissal practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John R Gissal is 1780645804. The last update date is 2010-06-08.
John R Gissal's current location address is 3801 Glenkerry Ct, Portage, Michigan. You can contact this provider via phone number 2693231527 and fax number 2693231670. The mailing address for John R Gissal is 3801 Glenkerry Ct, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Gissal |
|---|---|
| Address | 3801 Glenkerry Ct, Portage, Michigan |
| Phone Number | 2693231527 |
| Fax Number | 2693231670 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1780645804 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2010-06-08 |
Provider Mailing Address Detail
| Address | 3801 Glenkerry Ct |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490240718 |
| Phone Number | 2693231527 |
| Fax Number | 2693231670 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901012966 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1644808 | MI | -- | |
| 2990946 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John R Gissal by the Centers for Medicare & Medicaid Services?
The John R Gissal has been issued the NPI (National Provider Identifier) 1780645804 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of John R Gissal?
The John R Gissal is situated at 3801 Glenkerry Ct, in the city of Portage, state of MI, with the zip code 490240718.
What is the John R Gissal's area of specialization and corresponding taxonomy classification?
The John R Gissal's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the John R Gissal receive its 1780645804 assignment from the Centers for Medicare & Medicaid Services?
The John R Gissal was assigned its 1780645804 by the Centers for Medicare & Medicaid Services on 2006-03-29.
When was the information regarding John R Gissal most recently updated?
The details pertaining to the John R Gissal, including its address, specialty, and other relevant information, were last refreshed on 2010-06-08.
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