Gordon Gruen, D.D.S.
NPI 1629183116 · Oral and Maxillofacial Pathology Dentistry · Memphis, TN
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gordon Gruen, D.D.S. is a Oral and Maxillofacial Pathology Dentistry provider in Memphis, TN (NPI 1629183116).
Provider details
- NPI number
- 1629183116
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DS 1783 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gordon Gruen's NPI number?
- Gordon Gruen's National Provider Identifier (NPI) is 1629183116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gordon Gruen's specialty?
- Gordon Gruen is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Pathology Dentistry (Dental Providers).
- Where is Gordon Gruen located?
- Gordon Gruen's practice location on file with NPPES is 780 Ridge Lake Blvd, Memphis, TN 38120-9426.
- What is Gordon Gruen's phone number?
- The practice phone number listed in the NPPES registry for Gordon Gruen is (901) 682-8431.
- Does Gordon Gruen accept Medicare?
- Gordon Gruen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gordon Gruen's NPI active?
- Yes — Gordon Gruen's NPI (1629183116) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.