Robert Blackford Gillum in Fridley - Oral And Maxillofacial Surgery
Robert Blackford Gillum - NPI 1427192368
Robert Blackford Gillum is a Oral And Maxillofacial Surgery in Fridley, Minnesota. Robert Blackford Gillum practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Robert Blackford Gillum is 1427192368. The last update date is 2007-07-08.
Robert Blackford Gillum's current location address is 7136 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635741639. The mailing address for Robert Blackford Gillum is 7136 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Blackford Gillum |
|---|---|
| Address | 7136 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635741639 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1427192368 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7136 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554323100 |
| Phone Number | 7635741639 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D8290 |
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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 Robert Blackford Gillum's 1427192368?
The Robert Blackford Gillum's NPI (National Provider Identifier) Number is 1427192368. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert Blackford Gillum is physically located?
The Robert Blackford Gillum is situated at the following address: 7136 University Ave Ne, Fridley, MN 554323100.
What is Robert Blackford Gillum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Blackford Gillum is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Robert Blackford Gillum receive its 1427192368 assignment from the Centers for Medicare & Medicaid Services?
The Robert Blackford Gillum was assigned its 1427192368 by the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the Robert Blackford Gillum's details last updated?
The information pertaining to the Robert Blackford Gillum, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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