Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT MARK GRACE, DDS
Active Sole ProprietorDental Public Health · LA PORTE, IN
Registration Details
- NPI Number
- 1710927843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (19.873144072366 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12007607A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
COMMUNITY HEALTH CENTER400 TEAGARDENLA PORTE, IN, 463503175Browse IN providers · Browse ZIP 46350
- Phone
- 2193262403
- Fax
- 2193262385
- Primary Specialty
-
Dental Public Health
1223D0001X
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.