Active NPIIndividual provider

Dr. Tamar Gruenbaum, DDS

Dentist, Pediatric Dentistry in Glen Rock, New Jersey

NPI Number1053609974
Practice location
385 S Maple Ave, Suite 107, Glen Rock, NJ 07452-1543
Fax
—
Last updated
October 29, 2015

Tamar Gruenbaum is a Dentist, Pediatric Dentistry based in Glen Rock, NJ. Tamar Gruenbaum practices in Glen Rock, NJ and has the professional credentials of DDS. The NPI Number for Tamar Gruenbaum is 1053609974 and holds a License No. 055625 (NY). The current practice location address for Tamar Gruenbaum is 385 S Maple Ave, Suite 107, Glen Rock, NJ 07452-1543 and can be reached out via phone at 201-652-2707.

Provider Profile Details

NPI Number
1053609974
Provider Name
Tamar Gruenbaum
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
385 S Maple Ave, Suite 107, Glen Rock, NJ 07452-1543
Phone Number
201-652-2707
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2011
Last Update Date
October 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 S Maple Ave
Suite 107
Glen Rock, NJ 07452-1543
Zip
07452-1543
Phone Number
201-652-2707
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
600 W 246TH St
Apt 903
Bronx, NY 10471-3611
City
Bronx
State
NY
Zip
10471-3611
Phone Number
201-410-0971

License Information

License Number (1)
055625
License State (1)
NY
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (2)
22DI02475500
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
22DI02475500
License State (3)
NJ
Taxonomy (3)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tamar Gruenbaum, DDS?

The NPI number of Dr. Tamar Gruenbaum, DDS is 1053609974. It was assigned on July 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Tamar Gruenbaum, DDS?

Dr. Tamar Gruenbaum, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 055625.

Where does Dr. Tamar Gruenbaum, DDS practice?

The practice location is 385 S Maple Ave, Suite 107, Glen Rock, NJ 07452-1543. The office can be reached at 201-652-2707 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053609974 directly on the NPPES registry website.

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