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 |
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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 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1516 Virginia Ranch Rd Ste 1a |
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City | Gardnerville |
State | Nevada (NV) |
Post Code | 894105764 |
Phone Number | 7757826491 |
Fax Number | 7757826492 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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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 |
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900024470 | NV | TAX ID |
Post Comment/ Review Below
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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