Doctor Name: | DR. JOHN W GRUENDEL |
NPI Number: | 1104956499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | DS019246L |
Business Practice Address: | 1006 Victoria Pl Gibsonia, PA - 150449200 |
Business Phone Number: | 4126210200 |
Business Fax Number: | 4126219414 |
Mailing Address: | 1006 Victoria Pl, GIBSONIA |
State: | PA |
Postal Code: | 150449200 |
Phone Number: | 4126210200 |
Fax Number: | 4126219414 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | DS019246L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |