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NPI Code Detail

MEDICARE: DR. GREGORY GARN D.D.S., M.S.

MEDICARE:  DR. GREGORY  GARN  D.D.S., M.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryAZ5348AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10861010387OTHERAZTAX ID NUMBER

General Provider Information

NPI Number : 1578694659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY GARN D.D.S., M.S.
Provider Business Mailing Address
First Line : 2835 E BROWN RD STE 102
Second Line :
City : MESA
State : AZ
Zip : 85213-5470
Country : US
Telephone Number : 480-832-3830
Fax Number : 480-924-9147
Provider Business Practice Location Address
First Line : 2835 E BROWN RD STE 102
Second Line :
City : MESA
State : AZ
Zip : 85213-5470
Country : US
Telephone Number : 480-832-3830
Fax Number : 480-924-9147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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Directions to “ DR. GREGORY GARN D.D.S., M.S.” Practice Location

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