Individual
DR. GREGORY BLAINE SCHEIDEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4300 OAK PARK LN, FORT WORTH, TX 76109-1512
(817) 731-2789
(817) 207-9980
Mailing address
4300 OAK PARK LN, FORT WORTH, TX 76109-1512
(817) 731-2789
(817) 207-9980
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12234
TX
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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