Gribb Omfs LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GRIBB OMFS LLC

Practice address

501 W 14TH St
Wilmington, DE 19801-1013

Phone

(610) 310-5696

NPI assigned

Jan 18, 2025

Organization subpart

No

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

Authorized official

Name

Jacob Pauly Gribb, DMDNPI 1316574288

Title

Owner/Surgeon

Phone

(610) 310-5696

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Pauly Gribb

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pottstown, PA
  • NPI 1316574288
  NPD Authorized official

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737158400000",
    "number": "1508677493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HILLCREST DR",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195129202",
            "telephone_number": "610-310-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "610-310-5696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "610-310-5696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRIBB OMFS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A",
        "authorized_official_last_name": "GRIBB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "PAULY",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "610-310-5696",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Edward Gregory Jr.
• Ryeneysa Jacquelyn Gregory, FNP-BC
• Victor L Gregory Jr., D.M.D.
• Erin Kathleen Grey, DO
• Regina M Grey, LPC
• Ariel Grier
• Aroya Jade Griffin, LCSW
• Gregory C. Griffin, MD
• Wykeema Elease Griffin, RN
• Jeffrey Scott Griffith, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.