GRUEN & MORRIS ORAL SURGERY GROUP (NPI# 1093092496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093092496 |
| Entity Type | Organization |
| Organization Name | GRUEN & MORRIS ORAL SURGERY GROUP |
| Practice Address |
780 Ridge Lake Blvd Suite 101 Memphis TN 38120-9426 |
| Practice Telephone | 9016828431 |
| Practice Fax Number | 9016822345 |
| Mailing Telephone | 9016828431 |
| Mailing Fax Number | 9016822345 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | DR. DWIGHT ADAIR MORRIS (ORAL SURGEON) |
| Authorized Official Telephone | 9016828431 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS 1783 | TN | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS 2596 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN MEDICARE NUMBER | 3222184 | 01 |
| TN | TN MEDICARE NUMBER | 3203659 | 01 |
| Street Address |
780 RIDGE LAKE BLVD SUITE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629183116 | Gordon Ernest Gruen | Dentist | 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 | 2006-08-21 |
| 1992144596 | Neal Dental Office | Dentist | 780 Ridge Lake Blvd, 201b, Memphis, TN 38120-9426 | 2013-06-18 |
| 1811057177 | Rhonda Payne | Social Worker | 780 Ridge Lake Blvd, Suite 103, Memphis, TN 38120-9426 | 2006-12-09 |
| 1124133616 | Dwight Adair Morris | Dentist | 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
| 1225132590 | Harris E Williams | Dentist | 6621 Kirby Center Cv, Memphis, TN 38115-4313 | 2006-09-08 |
| 1225143720 | John Shrader Cannon | Dentist | 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 | 2006-08-21 |
| 1356305569 | James M. Christian | Dentist | 875 Union Avenue, The University of Tennessee, Memphis, TN 38133-3513 | 2006-04-14 |
| 1447231253 | Joseph Lawrence Mcrae | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-09 |
| 1891785655 | Richard D Meekins Jr. | Dentist | 1251 Wesley Dr, 101, Memphis, TN 38116-6442 | 2005-10-24 |
| 1013905165 | Isaac Fordjour | Dentist | 910 Madison Ave, Suite 710, Memphis, TN 38103-3403 | 2005-10-12 |
| 1366430647 | Lawrence W Weeda Jr. | Dentist | 875 Union Ave, Room N-328, Memphis, TN 38163-0001 | 2005-10-11 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.