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Edward H. Gruber, DDS

Clinic/Center, Dental in Bakersfield, CA. Organization (NPI-2).

NPI number1104065416
StatusActive
Last updated in NPPESDec 12, 2013

Details

NPI
1104065416
Entity type
Organization (NPI-2)
Legal business name
Edward H. Gruber, DDS
Organization subpart
No
Enumeration date
Feb 10, 2009
Last updated
Dec 12, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Smile Studios (Doing Business As)

Practice location

3612 Coffee Rd
A
Bakersfield, CA 93308-5083

Phone 661-587-7645 · Fax 661-587-7656

Mailing address

3612 Coffee Rd
A
Bakersfield, CA 93308-5083

Phone 661-587-7645 · Fax 661-587-7656

Authorized official

Edward H Gruber
Owner, Sole Proprietor
6615877645

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Clinic/Center providers in Bakersfield, CA

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