Individual
JEFFREY N. GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2228 STATE HILL RD, WYOMISSING, PA 19610-1904
(610) 372-8406
(610) 372-3998
Mailing address
2228 STATE HILL RD, WYOMISSING, PA 19610-1904
(610) 372-8406
(610) 372-3998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036114
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1640241
UNITED CONCORDIA PROVIDER
PA
Enumeration date
01/08/2007
Last updated
05/24/2016
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