Individual provider · Type 1 NPI

Jack Gruber, DDS

General Practice Dentistry · New Hyde Park, NY

NPI number 1609890151 Active

About NPI 1609890151

Jack Gruber, DDS's National Provider Identifier is 1609890151, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 8, 2007.