person
Grayson Gaynor Cole, DDS
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1821614165

Grayson Gaynor Cole is a Student in an Organized Health Care Education/Training Program based in Burr Ridge, IL. Grayson Gaynor Cole practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Grayson Gaynor Cole is 1821614165 and holds a License No. 019034056 (Illinois).

The current practice location address for Grayson Gaynor Cole is 5841 S Maryland Ave # Mc3083, Chicago, IL and can be reached out via phone at 773-834-7708 and via fax at 773-834-7644. You can also correspond with Grayson Gaynor Cole through the mailing address at 180 HARVESTER DR STE 110, BURR RIDGE, IL - 60527-6686 (mailing address contact number: 773-702-1150).

Location: 5841 S Maryland Ave # Mc3083, Chicago, IL, 60527-6686
person
Provider Profile Details
NPI Number
1821614165
Provider Name
Grayson Gaynor Cole
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5841 S Maryland Ave # Mc3083, Chicago, IL, 60527-6686
Phone Number
773-834-7708
Fax Number
773-834-7644
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave # Mc3083
City
State
Zip
60637-1443
Phone Number
773-834-7708
Fax Number
773-834-7644
person
Provider Business Mailing Address Details
Address
180 Harvester Dr Ste 110
City
State
Zip
60527-6686
Phone Number
773-702-1150
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Pathology
Taxonomy
License No.
()
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
019034056 (Illinois)
Definition
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.
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