Edward John Gray in Gardnerville - Oral And Maxillofacial Surgery

Edward John Gray - NPI 1073623047

Edward John Gray is a Oral And Maxillofacial Surgery in Gardnerville, Nevada. Edward John Gray practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Edward John Gray is 1073623047. The last update date is 2007-07-08.

Edward John Gray's current location address is 1516 Virginia Ranch Rd Ste 1a, Gardnerville, Nevada. You can contact this provider via phone number 7757826491 and fax number 7757826492. The mailing address for Edward John Gray is 1516 Virginia Ranch Rd Ste 1a, Gardnerville, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward John Gray
Address 1516 Virginia Ranch Rd Ste 1a, Gardnerville, Nevada
Phone Number 7757826491
Fax Number 7757826492
Sole Proprietor Y
Credentials DMD, MD

NPI Number Detail

NPI Number 1073623047
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1516 Virginia Ranch Rd Ste 1a
City Gardnerville
State Nevada (NV)
Post Code 894105764
Phone Number 7757826491
Fax Number 7757826492

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No S2-34
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
900024470 NV TAX ID

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FAQs about Edward John Gray

What is the unique 10-digit identification code issued to Edward John Gray by the Centers for Medicare & Medicaid Services?

The Edward John Gray has been assigned the NPI (National Provider Identifier) 1073623047 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 Edward John Gray's facilities are geographically located?

The facilities of Edward John Gray are physically situated at the following location: 1516 Virginia Ranch Rd Ste 1A, Gardnerville, NV, 894105764.

What is Edward John Gray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Edward John Gray is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073623047 to Edward John Gray?

The Centers for Medicare & Medicaid Services originally issued the 1073623047 to Edward John Gray on 2006-08-30.

When was the Edward John Gray's information last updated?

The Edward John Gray's information was last updated on 2007-07-08.

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