Dr. Eric Gray Dutton
Oral and Maxillofacial Surgeon
2160 S 1st Ave Ste 2840-A
Maywood
, Illinois 60153-3328
Dr. Eric Gray Dutton
Oral and Maxillofacial Surgeon
2160 S 1st Ave Ste 2840-A
Maywood
, Illinois 60153-3328
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eric Gray Dutton
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone :
Second Address
- Dr. Eric Gray Dutton
- 2160 S 1st Ave Ste 2840-A
- Maywood, IL
- Zip : 60153-3328
- Phone : (708) 216-4533
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 018.002171 | IL |
National Provider Identifier
| NPI | 1073190385 |
|---|---|
| Provider Name | Dr. Eric Gray Dutton |
| First Address | Maywood, IL 60153-3328 |
| Second Address | Maywood, IL 60153-3328 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2021 |
| Last Update Date | 28/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.