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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DS 1783 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS BLUE SHIELD | 2007914 | 01 |
Street Address |
780 RIDGE LAKE BLVD SUITE 101 |
City | MEMPHIS |
State | TN |
Zip Code | 38120-9426 |
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 |
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 | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
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 |
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 |
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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.