GRAYSON GAYNOR COLE D.D.S. NPI 1821614165

NPI Information

NPI: 1821614165
Provider Name: GRAYSON GAYNOR COLE, D.D.S.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
5841 S MARYLAND AVE # MC3083
CHICAGO, IL
ZIP 60637
Phone: (773) 834-7708
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Grayson Gaynor Cole, D.D.S. is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Grayson Gaynor Cole, D.D.S. NPI is 1821614165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5841 S MARYLAND AVE # MC3083
CHICAGO, IL
ZIP 60637-443
Phone: (773) 834-7708
Fax: (773) 834-7644

The enumeration date for this NPI number is 6/23/2020 and was last updated on 5/8/2023.

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
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	019034056	ILLINOIS	No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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: 4/28/2024

NPI Synchronization or Removal

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