GREGORY MORANDO (NPI# 1710036553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710036553 |
| Entity Type | Individual |
| Full Name | GREGORY MORANDO |
| Credential | D.M.D |
| Practice Address |
Us Army Dental Clinic Command Innkeeper St. Building 4405 Fort Rucker AL 36362 |
| Mailing Address |
189 Boulton Ct Madison AL 35756-4137 |
| Practice Telephone | 3342559285 |
| Mailing Telephone | 2563250297 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
6596 | NC | Dental Providers |
| Street Address |
US ARMY DENTAL CLINIC COMMAND INNKEEPER ST. BUILDING 4405 |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986533 | Ramakiran Venkata Chavali | Dentist | 127 Cahaba River Parc, Birmingham, AL 35243-3250 | 2012-01-30 |
| 1417250937 | Precision Dental | Dentist | 4730 Chace Cir, Hoover, AL 35244-3703 | 2010-12-07 |
| 1588822399 | Harold Keith Miller | Dentist | 2200 Valleydale Rd Ste 110, Hoover, AL 35244-2719 | 2008-05-29 |
| 1417088089 | Taylor Lee Crawford II | Dentist | 4216 Aurelia St, Mobile, AL 36609-2875 | 2007-03-08 |
| 1679602189 | Yung-tsung Hsu | Dentist | 1919 7th Ave S Rm 534, Birmingham, AL 35294-0001 | 2007-03-02 |
| 1508901414 | Luis Fernando Cabrera | Dentist | 3265 Cahaba Heights Rd, Birmingham, AL 35243 | 2007-02-20 |
| 1114092442 | Perng-ru Liu | Dentist | 2501 Crossgate Pl, Birmingham, AL 35216-3116 | 2006-11-21 |
| 1245303593 | Sandra Jean Oneal | Dentist | 1919 7th Ave South Sdb Box 538, Birmingham, AL 35294-0001 | 2006-11-16 |
| 1700960077 | Jerry W Reasner | Dentist | 924 Montclair Road, Suite 101, Birmingham, AL 35213 | 2006-10-24 |
| 1073607404 | Jordan Holt Gray | Dentist | 5751 Pocahontas Rd Ste A, Suite 5, Bessemer, AL 35022-5478 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT RUCKER |
| Zip Code | 36362 |
Please comment or provide details below to improve the information on GREGORY MORANDO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.