Douglas Forrest Degroote in Wilmington - Oral And Maxillofacial Surgery
Douglas Forrest Degroote - NPI 1679573976
Douglas Forrest Degroote is a Oral And Maxillofacial Surgery in Wilmington, North Carolina. Douglas Forrest Degroote practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Douglas Forrest Degroote is 1679573976. The last update date is 2012-01-17.
Douglas Forrest Degroote's current location address is 2250 Shipyard Blvd, Wilmington, North Carolina. You can contact this provider via phone number 9104521700 and fax number 9104523671. The mailing address for Douglas Forrest Degroote is 2250 Shipyard Blvd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Forrest Degroote |
|---|---|
| Address | 2250 Shipyard Blvd, Wilmington, North Carolina |
| Phone Number | 9104521700 |
| Fax Number | 9104523671 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1679573976 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2012-01-17 |
Provider Mailing Address Detail
| Address | 2250 Shipyard Blvd |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284038070 |
| Phone Number | 9104521700 |
| Fax Number | 9104523671 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 4050 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8992089 | NC | -- |
Post Comment/ Review Below
What is the Douglas Forrest Degroote's unique identification number?
The Douglas Forrest Degroote has been assigned the NPI (National Provider Identifier) Number 1679573976 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Douglas Forrest Degroote is physically located?
The Douglas Forrest Degroote is physically situated at the following address: 2250 Shipyard Blvd, Wilmington, NC, 284038070.
What is Douglas Forrest Degroote's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas Forrest Degroote's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When was the Douglas Forrest Degroote's 1679573976 issued?
The Douglas Forrest Degroote's 1679573976 was issued on 2005-07-28.
When was the Douglas Forrest Degroote's information last updated?
The Douglas Forrest Degroote's information was last updated on 2012-01-17.