Gary Bruce Nussbaum in Salem - Oral And Maxillofacial Surgery
Gary Bruce Nussbaum - NPI 1962421388
Gary Bruce Nussbaum is a Oral And Maxillofacial Surgery in Salem, Virginia. Gary Bruce Nussbaum practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gary Bruce Nussbaum is 1962421388. The last update date is 2007-07-08.
Gary Bruce Nussbaum's current location address is 1940 Braeburn Dr, Salem, Virginia. You can contact this provider via phone number 5409895257. The mailing address for Gary Bruce Nussbaum is 1940 Braeburn Dr, Salem, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Bruce Nussbaum |
|---|---|
| Address | 1940 Braeburn Dr, Salem, Virginia |
| Phone Number | 5409895257 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1962421388 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1940 Braeburn Dr |
|---|---|
| City | Salem |
| State | Virginia (VA) |
| Post Code | 241537383 |
| Phone Number | 5409895257 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 401005223 |
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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 unique identification code assigned to Gary Bruce Nussbaum by the Centers for Medicare & Medicaid Services?
The Gary Bruce Nussbaum has been issued the NPI (National Provider Identifier) 1962421388. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Bruce Nussbaum?
The Gary Bruce Nussbaum is situated at 1940 Braeburn Dr, in the city of Salem, state of VA, with the zip code 241537383.
What is Gary Bruce Nussbaum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Bruce Nussbaum is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962421388 to Gary Bruce Nussbaum?
The Gary Bruce Nussbaum received its 1962421388 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date were the details pertaining to Gary Bruce Nussbaum last refreshed?
The information related to the Gary Bruce Nussbaum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.