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DR. MICHAEL H. GROUSD DDS MA LTD NPI 1972656890


NPI Information

NPI: 1972656890
Provider Name: DR. MICHAEL H. GROUSD DDS MA LTD
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1 E PHILLIP RD
SUITE 101
VERNON HILLS, IL
ZIP 60061
Phone: (847) 367-4190
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DR. MICHAEL H. GROUSD DDS MA LTD is an oral and maxillofacial surgery dentist in Vernon Hills, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. MICHAEL H. GROUSD DDS MA LTD NPI is 1972656890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 E PHILLIP RD
SUITE 101
VERNON HILLS, IL
ZIP 60061-858
Phone: (847) 367-4190
Fax: (847) 367-5010

The provider's authorized official is Linda L Mcmanamon .
The authorized official title is Manager and has the following contact phone number (847) 367-4190.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 12/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistILLINOISNo
21223S0112XDentistOral and Maxillofacial SurgeryILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K21187MEDICARE UPIN
280022385OTHERILLINOISBLUE CROSS BLUE SHIELD
3212325MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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