Paul Dwayne Gross in Lenoir City - Oral And Maxillofacial Surgery
Paul Dwayne Gross - NPI 1417954629
Paul Dwayne Gross is a Oral And Maxillofacial Surgery in Lenoir City, Tennessee. Paul Dwayne Gross practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Paul Dwayne Gross is 1417954629. The last update date is 2007-07-08.
Paul Dwayne Gross's current location address is 603 Highway 321 N Unit 20 Bldg 4, Lenoir City, Tennessee. You can contact this provider via phone number 8659864582 and fax number 8659888398. The mailing address for Paul Dwayne Gross is 603 Highway 321 N Unit 20 Bldg 4, Lenoir City, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Dwayne Gross |
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Address | 603 Highway 321 N Unit 20 Bldg 4, Lenoir City, Tennessee |
Phone Number | 8659864582 |
Fax Number | 8659888398 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1417954629 |
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Provider Enumeration Date | 2005-07-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 603 Highway 321 N Unit 20 Bldg 4 |
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City | Lenoir City |
State | Tennessee (TN) |
Post Code | 377716575 |
Phone Number | 8659864582 |
Fax Number | 8659888398 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | DS2495 |
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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3225912 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Paul Dwayne Gross by the Centers for Medicare & Medicaid Services?
The Paul Dwayne Gross has been assigned the NPI (National Provider Identifier) 1417954629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Paul Dwayne Gross's facilities are situated?
The facilities of Paul Dwayne Gross are physically located at the following address: 603 Highway 321 N Unit 20 Bldg 4, Lenoir City, TN, 377716575.
What is Paul Dwayne Gross's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul Dwayne Gross is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417954629 to Paul Dwayne Gross?
The Centers for Medicare & Medicaid Services originally issued the 1417954629 to Paul Dwayne Gross on 2005-07-01.
As of what date was the information pertaining to Paul Dwayne Gross, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Paul Dwayne Gross, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.