Active NPIIndividual provider

Dr. Gary R Grillo, DMD

Dentist, General Practice in Elmer, New Jersey

NPI Number1235290974
Practice location
440 Front St, Elmer, NJ 08318-2177
Fax
—
Last updated
July 8, 2007

Gary Ralph Grillo is a Dentist, General Practice based in Elmer, NJ. Gary Ralph Grillo practices in Elmer, NJ and has the professional credentials of DMD. The NPI Number for Gary Ralph Grillo is 1235290974 and holds a License No. 11554 (NJ). The current practice location address for Gary Ralph Grillo is 440 Front St, Elmer, NJ 08318-2177 and can be reached out via phone at 856-358-8303.

Provider Profile Details

NPI Number
1235290974
Provider Name
Gary Ralph Grillo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
440 Front St, Elmer, NJ 08318-2177
Phone Number
856-358-8303
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
December 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
440 Front St
Elmer, NJ 08318-2177
City
Elmer
Zip
08318-2177
Phone Number
856-358-8303
Elmer, NJ 08318Get directions →

Provider Business Mailing Address Details

Address
35 Summer Dr
Berlin, NJ 08009-9677
City
Berlin
State
NJ
Zip
08009-9677
Phone Number
856-358-8303

License Information

License Number
11554
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Gary R Grillo, DMD?

The NPI number of Dr. Gary R Grillo, DMD is 1235290974. It was assigned on December 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary R Grillo, DMD?

Dr. Gary R Grillo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 11554.

Where does Dr. Gary R Grillo, DMD practice?

The practice location is 440 Front St, Elmer, NJ 08318-2177. The office can be reached at 856-358-8303 (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 1235290974 directly on the NPPES registry website.

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