Julia A Gruppuso, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29191 Issued in FL

Practice address

109 44TH Ave E Ste 200
Bradenton, FL 34203-3639

Phone

(352) 741-4629

NPI assigned

Jun 13, 2023

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1427732163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 FALMOUTH DR # C103",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342282347",
            "telephone_number": "863-370-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 44TH AVE E STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033639",
            "telephone_number": "352-741-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPPUSO",
        "first_name": "JULIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "29191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Ann Groth, DMD
• Grove & Dibetta PLLC (Immediate Medcare and Family Doctors of Bradenton)
• Stephanie Grove, FNP
• Ronald G Grubb, D.O.
• Stacey Gruber, MD
• Lori Stephanie Gruskin, DMD
• Stormi Nicole Grzybek
• Guardian Angel Pediatrics
• Guardian Home Health LLC
• Carl P Guarino, MD

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.