Individual provider · Type 1 NPI
Gregory Joseph Groshan, DMD
Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL
Practice location
3007 Hartley Rd
Jacksonville, FL 32257-6201
Fax (904) 737-8326
Mailing address
4131 University Blvd S, Bldg #1
Jacksonville, FL 32216-4326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN0013337 (FL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1184760480
Gregory Joseph Groshan, DMD's National Provider Identifier is 1184760480, issued on Jan 30, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 3, 2009.