Gruber, Jack

Gruber, Jack is an sole proprietor health care provider with primary practice located at 54 Old Pond Rd , Great Neck NY 11023-1031. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gruber, Jack can be contacted via phone (516) 466-3605.

Contact Information

Primary practice address
54 Old Pond Rd Great Neck NY 11023-1031
Phone: (516) 466-3605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 028946 New York

Profile Details

NPI number 1457424186
LBN Legal business name Gruber, Jack
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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