Individual
JAMES ROBERT GRONEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
913 A ST, MYRTLE POINT, OR 97458-1334
(541) 572-5511
(541) 572-3733
Mailing address
913 A ST, MYRTLE POINT, OR 97458-1334
(541) 572-5511
(541) 572-3733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5538
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217398
OREGON HEALTH PLAN
OR
Enumeration date
08/21/2006
Last updated
07/08/2007
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