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General NPI Number Information
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NPI Number | 1528237641
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Entity Type | Organization
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Legal Business Name | GREGORY N DAY DDS ORAL SURGURY PC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 3902 SANDLEWOOD LN SUITE 110
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City | PUEBLO
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State | CO
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Zip | 81005-7501
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Country | US
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Telephone | 719-561-2440
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Fax | 719-561-0612
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Provider Business Mailing Address
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Address Line | 3902 SANDLEWOOD LN SUITE 110
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City | PUEBLO
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State | CO
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Zip | 81005-7501
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Country | US
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Telephone | 719-561-2440
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Fax | 719-561-0612
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Authorized Official
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Title or Position | OWNER/ORAL SURGEON
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Name | DR. GREGORY NELSON DAY
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Credential | DDS/OMS
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Telephone | 719-561-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6563
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License Number State | CO
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