Brian L Grey in Lakeport - Orthodontics And Dentofacial Orthopedics
Brian L Grey - NPI 1568632016
Brian L Grey is a Orthodontics And Dentofacial Orthopedics in Lakeport, California. Brian L Grey practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brian L Grey is 1568632016. The last update date is 2008-04-02.
Brian L Grey's current location address is 120 9th St, Lakeport, California. You can contact this provider via phone number 7072635390 and fax number 7072639269. The mailing address for Brian L Grey is 120 9th St, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian L Grey |
|---|---|
| Address | 120 9th St, Lakeport, California |
| Phone Number | 7072635390 |
| Fax Number | 7072639269 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1568632016 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 120 9th St |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 954534320 |
| Phone Number | 7072635390 |
| Fax Number | 7072639269 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 37557 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Brian L Grey by the Centers for Medicare & Medicaid Services?
The Brian L Grey has been issued the NPI (National Provider Identifier) 1568632016. 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 Brian L Grey?
The Brian L Grey is situated at 120 9Th St, in the city of Lakeport, state of CA, with the zip code 954534320.
What is Brian L Grey's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brian L Grey is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568632016 to Brian L Grey?
The Brian L Grey received its 1568632016 assignment from the Centers for Medicare & Medicaid Services on 2008-03-11.
When was the information pertaining to Brian L Grey most recently updated or revised?
The details related to Brian L Grey, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-02.