Individual provider · Type 1 NPI
Roger E. Grua, DDS
General Practice Dentistry · Ogden, UT
NPI number
1972620185
Active
Practice location
3590 Harrison Blvd., Suite #5
Ogden, UT 84403-2012
Fax (801) 394-6833
Mailing address
4895 S 1075 E
Ogden, UT 84403-4758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 135117 (UT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1972620185
Roger E. Grua, DDS's National Provider Identifier is 1972620185, issued on Mar 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ogden, UT. The record was last updated on Jul 8, 2007.