DR. AVTAR S. GREWAL


Address: 3533 N Shiloh Dr Ste 3, Fayetteville, AR 72703-5317
Phone: 4794423411

DR. AVTAR S. GREWAL (NPI# 1235290115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235290115
Entity Type Individual
Full Name DR. AVTAR S. GREWAL
Credential D.D.S.
Practice Address 3533 N Shiloh Dr Ste 3
Fayetteville
AR 72703-5317
Practice Telephone 4794423411
Practice Fax Number 4794423901
Mailing Telephone 4794423411
Mailing Fax Number 4794423901
Enumeration Date 2006-12-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
3589 AR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS 5P029 01
AR UNITED CONCORDIA 1892010 01

Office Location

Street Address 3533 N SHILOH DR STE 3
City FAYETTEVILLE
State AR
Zip Code 72703-5317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922166610 Bill Pickard, Dds, Ms, Pa Dentist 3533 N Shiloh Dr Ste 3, Fayetteville, AR 72703-5317 2006-12-05
1093120727 John Cauldwell Dentist 3533 N Shiloh Dr Ste 3, Fayetteville, AR 72703-5317 2014-06-20

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1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
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1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578001616 Jesse R Gray Dds Pa Dentist 3119 E Mission Blvd, Fayetteville, AR 72703-6617 2017-02-09
1972972685 Trinity Orthodontics of Fayetteville LLC Dentist 719 Lanier Ave W Ste B, Fayetteville, GA 30214-7621 2015-09-23
1386048189 Bethel Burris Oliver Pllc Dentist 2901 Zion Rd, Fayetteville, AR 72703-5007 2014-10-22
1083957351 Gateway Ventures LLC Dentist 3782 N Front St, Suite 1, Fayetteville, AR 72703-5128 2013-04-04
1780995449 Gregory J Stock Dentist 404 E Genesee St, Fayetteville, NY 13066-1503 2010-06-28
1003019845 Dana Thi Tang Dentist 2997 Hope Mills Rd Ste C, Fayetteville, NC 28306-8349 2007-06-08
1326256066 Eric J. Echols Dentist 102 Pavilion Pkwy, Suite 14, Fayetteville, GA 30214-4056 2007-05-18
1033325436 Darrin Storms D.d.s., C.a.g.s., P.a. Dentist 4102 N Mall Ave Ste 101, Fayetteville, AR 72703-4929 2007-05-15
1962623819 J. Spencer Boley Dentist 4501 W Wedge Dr, Fayetteville, AR 72704-7532 2007-05-01
1992864375 Michael W Granger Dentist 745 Bradley Dr, Fayetteville, GA 30214-2030 2006-12-08
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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