Individual provider · Type 1 NPI
Ross Evan Gruber, DDS
Pediatric Dentistry · East Patchogue, NY
NPI number
1720188071
Active
Practice location
285 Sills Rd, Suite 3B
East Patchogue, NY 11772-4869
Fax (631) 289-9009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 045321 (NY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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About NPI 1720188071
Ross Evan Gruber, DDS's National Provider Identifier is 1720188071, issued on Sep 25, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in East Patchogue, NY. The record was last updated on Jul 8, 2007.