Gruen & Morris Oral Surgery Group

NPI 1093092496 - Dentist - 1223S0112X

NPI Details
NPI 1093092496
Enumeration Date 11/14/2011
Last Updated 11/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DWIGHT ADAIR DWIGHT
Position ORAL SURGEON
Phone (901) 682-8431
Fax (901) 682-2345
Practice Location
780 RIDGE LAKE BLVD
SUITE 101
MEMPHIS TN, 38120-9426, US
Phone (901) 682-8431
Fax (901) 682-2345
Business Location
780 RIDGE LAKE BLVD
SUITE 101
MEMPHIS TN, 38120-9426, US
Phone (901) 682-8431
Fax (901) 682-2345
Toxanomy
Taxonomy Code 1223S0112X
License State Tennessee
License Number DS 1783
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According to our database, Gruen & Morris Oral Surgery Group NPI is 1093092496, taxonomy code is 1223S0112X and license number is DS 1783, license state is located at Tennessee. Gruen & Morris Oral Surgery Group physically located at 780 Ridge Lake Blvd, Memphis TN, 38120-9426. NPI Number 1033115704 has the healthcare provider type.

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1093092496 NPI number is provided on an as is basis without warranty of any kind. 1093092496 is maintained by the National Plan & Provider Enumeration System. The contents of Gruen & Morris Oral Surgery Group are for informational purposes only.