Individual provider · Type 1 NPI

Jack Gruber, DDS

Periodontics · Great Neck, NY

NPI number 1457424186 Active

Practice location

54 Old Pond Rd
Great Neck, NY 11023-1031

Call (516) 466-3605 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X028946 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1457424186

Jack Gruber, DDS's National Provider Identifier is 1457424186, issued on Nov 17, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Great Neck, NY. The record was last updated on Jul 8, 2007.