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NPI Code Detail

MEDICARE: DR. PATRICK M GROGAN DDS

MEDICARE:  DR. PATRICK M GROGAN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDEN4961DC

General Provider Information

NPI Number : 1043542590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK M GROGAN DDS
Provider Business Mailing Address
First Line : 5039 CONNECTICUT AVE NW
Second Line : T-2
City : WASHINGTON
State : DC
Zip : 20008
Country : US
Telephone Number : 202-363-1314
Fax Number :
Provider Business Practice Location Address
First Line : 5039 CONNECTICUT AVE NW
Second Line : T-2
City : WASHINGTON
State : DC
Zip : 20008
Country : US
Telephone Number : 202-363-1314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2010
Last Update Date : 02/09/2010

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Directions to “ DR. PATRICK M GROGAN DDS” Practice Location

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