| Gordon Ernest Gruen, DDS | |
|
780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 | |
| (901) 682-8431 | |
| (901) 682-2345 |
| Full Name | Gordon Ernest Gruen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 780 Ridge Lake Blvd, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629183116 | NPI | - | NPPES |
| 2007914 | Other | TN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DS 1783 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Ernest Gruen, DDS 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 Ph: (901) 682-8431 | Gordon Ernest Gruen, DDS 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 Ph: (901) 682-8431 |
Dr. Yousef Odeh Jefferson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2953 Broad Ave, Memphis, TN 38112 Phone: 901-842-3171 | |
Dr. Mark David Devincenzi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2805 Summer Oaks Dr, Memphis, TN 38134 Phone: 901-881-0483 | |
Dr. David Richard Cagna, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Uthsc College Of Dentistry, 875 Union Avenue, Memphis, TN 38163 Phone: 901-448-6642 Fax: 901-448-1294 | |
Dr. Thomas Henry Shipmon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave, Suite 203, Memphis, TN 38117 Phone: 901-767-3603 Fax: 901-761-1969 | |
Dr. Robert Wood Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Ms. Ragonva Shante Walls, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1273 E Raines Rd, Memphis, TN 38116 Phone: 901-398-6435 | |
Dr. John Douglas Seeberg, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 875 Union Ave, Memphis, TN 38163 Phone: 901-448-6267 Fax: 901-448-2671 |