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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK GRUBER, D.D.S.

Active Sole Proprietor

DR. JACK GRUBER, D.D.S. is a Periodontology healthcare provider located in GREAT NECK, New York. NPI 1457424186 is currently active in the NPPES registry. Verify at CMS.

Periodontology · GREAT NECK, NY

Registration Details

NPI Number
1457424186
Provider Type
Individual
Gender
Male
NPI Issued
Nov 17, 2006 (19.781118047303 yrs)
Last Updated
Jul 8, 2007
License
028946 (NY)
Sole Proprietor
Yes

Practice Information

Address
54 OLD POND RD
GREAT NECK, NY, 110231031
Browse NY providers · Browse ZIP 11023
Phone
5164663605
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in GREAT NECK, NY

Name Credential NPI
DR. MEHRSHID SEDAGHATPOUR DDS 1841293594
DR. ROBERT MORRIS KNEPPER D.D.S. 1851372791
DR. LESLIE S BURSTEIN 1104840362
DR. DEMETRIOS TSIOKOS DDS 1295849131
DR. STEVEN JAY KERPEN D.M.D. 1912077652
DR. ADAM LYLE ZATCOFF D.M.D. 1285785386
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.