Bruce Daniel Grbach, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-017789 Issued in OH

Practice address

9203 Mentor Ave
Mentor, OH 44060-6477

Phone

(440) 255-3165

Fax

(440) 255-6757

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas a Plas DDS Ap LLC

  dba AP Family Dentistry

  • Dentist
  • North Olmsted, OH
  • NPI 1053099853
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700807336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606477",
            "telephone_number": "440-255-3165",
            "fax_number": "440-255-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606477",
            "telephone_number": "440-255-3165",
            "fax_number": "440-255-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRBACH",
        "first_name": "BRUCE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-017789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Brooke Gravens, MSN, RN
• Gray Therapy Solutions LLC
• Anna Gray, PA-C
• Nicole Marie Gray, LPCC
• Jessica Graziano, LISW-S
• Great Lake Dental Arts
• Great Lakes Ambulatory Surgery Center
• Great Lakes Eyecare, LLC
• Great Lakes Gastroenterology Research
• Great Lakes Home Health Ohio 2, LLC (Elara Caring)

• General Practice Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.