Albert Fitz Gruber II, DMD

General Practice Dentistry · Memphis, IL

Individual Active NPI

NPI number 1386714210

Practice location

University of Tennessee College of Dentistry
875 Union Ave
Memphis, IL 38163

Phone: (901) 448-6271
Fax: (708) 339-5567

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NPI record

NPI: 1386714210
Entity type: Individual (Type 1)
Enumeration date: November 8, 2006
Last updated: October 24, 2024
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	11979	TN
General Practice Dentistry	`1223G0001X`	019-019995	IL
General Practice Dentistry	`1223G0001X`	12009737A	IN
General Practice Dentistry	`1223G0001X`	6830	LA

Mailing address

1697 Lisson Lane
Collierville, TN 38017

Phone: (708) 212-7995
Fax: (708) 339-5567

About Dr. Gruber

Albert Fitz Gruber II, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is University of Tennessee College of Dentistry, 875 Union Ave, Memphis, IL 38163. The NPI number 1386714210 was assigned on November 8, 2006 and the record was last updated on October 24, 2024.

Dr. Gruber lists 4 licenses in the registry: #11979 (TN) for General Practice Dentistry; #019-019995 (IL) for General Practice Dentistry; #12009737A (IN) for General Practice Dentistry; #6830 (LA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Albert Fitz Gruber II, DMD?

The NPI number is 1386714210.

What is the phone number of Dr. Gruber?

The phone number listed for the practice location is (901) 448-6271.

Where is Dr. Gruber located?

University of Tennessee College of Dentistry, 875 Union Ave, Memphis, IL 38163.

What is the taxonomy code for Dr. Gruber?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.