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Individual

DR. ROBERT BRIAN GRIPPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
458 N MAIN ST, RUSSELL SPRINGS, KY 42642
(270) 866-7222
Mailing address
PO BOX 2249, RUSSELL SPRINGS, KY 42642-2249
(270) 866-7222

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7471
KY
1223G0001X
General Practice Dentistry
7471
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45002474
KY
05
60000007
KY
Enumeration date
08/30/2006
Last updated
07/27/2007
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