Mark Edward Grubb in Bangor - Oral And Maxillofacial Pathology

Mark Edward Grubb - NPI 1518003094

Mark Edward Grubb is a Oral And Maxillofacial Pathology in Bangor, Maine. Mark Edward Grubb practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Mark Edward Grubb is 1518003094. The last update date is 2007-07-08.

Mark Edward Grubb's current location address is 37 Bower St, Bangor, Maine. You can contact this provider via phone number 2079455691 and fax number 2079429525. The mailing address for Mark Edward Grubb is 37 Bower St, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Edward Grubb
Address 37 Bower St, Bangor, Maine
Phone Number 2079455691
Fax Number 2079429525
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1518003094
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 37 Bower St
City Bangor
State Maine (ME)
Post Code 440147210
Phone Number 2079455691
Fax Number 2079429525

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 3340
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Mark Edward Grubb

What is the Mark Edward Grubb's unique identification number?

The Mark Edward Grubb has been assigned the NPI (National Provider Identifier) Number 1518003094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Mark Edward Grubb is geographically located?

The Mark Edward Grubb is physically situated at the following location: 37 Bower St, Bangor, ME, 440147210.

What is Mark Edward Grubb's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark Edward Grubb's specialized field of practice is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0106X.

On what date did the Centers for Medicare & Medicaid Services issue the 1518003094 to Mark Edward Grubb?

The Mark Edward Grubb received its 1518003094 assignment from the Centers for Medicare & Medicaid Services on 2007-01-30.

When was the information regarding Mark Edward Grubb, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Edward Grubb, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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