Individual
DR. JACK W GROOVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
711 E 70TH ST, SAVANNAH, GA 31405-4810
(912) 354-9541
(912) 354-3950
Mailing address
711 E 70TH ST, SAVANNAH, GA 31405-4810
(912) 354-9541
(912) 354-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7570
GA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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