GORDON ERNEST GRUEN


Address: 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426
Phone: 9016828431

GORDON ERNEST GRUEN (NPI# 1629183116) 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) 1629183116
Entity Type Individual
Full Name GORDON ERNEST GRUEN
Credential D.D.S.
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 2006-08-21
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 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
DS 1783 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS BLUE SHIELD 2007914 01

Office Location

Street Address 780 RIDGE LAKE BLVD
SUITE 101
City MEMPHIS
State TN
Zip Code 38120-9426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992144596 Neal Dental Office Dentist 780 Ridge Lake Blvd, 201b, Memphis, TN 38120-9426 2013-06-18
1093092496 Gruen & Morris Oral Surgery Group Dentist 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 2011-11-14
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

Providers in the same zip code

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 Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy 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 diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306391081 Sarah Elizabeth Aguirre Dentist 875 Union Ave # C316, Memphis, TN 38103-3513 2016-08-23
1649249533 Russell C Peck Dentist 766 S White Station Rd, Suite #1, Memphis, TN 38117-4579 2006-03-14
1992709877 Bruce H Mccullar Dentist 805 Estate Pl, Ste 2, Memphis, TN 38120-0647 2005-06-09
1902183940 Shokoufeh Shahrabi Farahani Dentist 875 Union Ave, Memphis, TN 38103-3513 2011-11-04
1386848638 Drs Albright, Smith & Peck Dentist 766 S White Station Rd, Suite #1, Memphis, TN 38117-4579 2007-06-12
1750444899 Gilbert G. Stein Dentist 1715 Kirby Pkwy, Suite 101, Memphis, TN 38120-4320 2006-12-19
1487723094 University of Tennessee Dentist 875 Union Ave, Room C309, Memphis, TN 38163-0001 2006-11-07
1366528119 Harry Mincer Dentist 875 Union Ave, Room C309, Memphis, TN 38163-0001 2006-10-27
1245316017 Kenneth Mark Anderson Dentist 875 Union Ave, Room C309, Memphis, TN 38163-0001 2006-10-27
1124133616 Dwight Adair Morris Dentist 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 2006-08-21
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38120

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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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