IndividualActive
Gordon Gruen, D.D.S.
NPI 1629183116 · Oral and Maxillofacial Pathology Dentistry · Memphis, TN
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)
Practice location
780 Ridge Lake Blvd
Suite 101
Memphis, TN 38120-9426
Phone: (901) 682-8431
Fax: (901) 682-2345
Mailing address
780 Ridge Lake Blvd
Memphis, TN 38120-9426
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 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.