Paul G. Grussenmeyer
Dentist - General Practice
310 Kresson Rd
Cherry Hill
, New Jersey 08034-3353
Paul G. Grussenmeyer
Dentist - General Practice
310 Kresson Rd
Cherry Hill
, New Jersey 08034-3353
(856) 428-1088
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Paul G. Grussenmeyer
- 310 Kresson Rd
- Cherry Hill, NJ
- Zip : 08034-3353
- Phone : (856) 428-1088
Second Address
- Paul G. Grussenmeyer
- 310 Kresson Rd
- Cherry Hill, NJ
- Zip : 08034-3353
- Phone : (856) 428-1088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 22DI01175000 | NJ |
| Y | 213EG0000X | General Practice | 22DI01175000 | NJ |
National Provider Identifier
| NPI | 1003835240 |
|---|---|
| Provider Name | Paul G. Grussenmeyer |
| First Address | Cherry Hill, NJ 08034-3353 |
| Second Address | Cherry Hill, NJ 08034-3353 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 08/07/2007 |
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.