Dr. Johnny Michael Groeling, DDS
Dentist in Stamford, CT. Individual provider (NPI-1).
NPI number1174149751
StatusActive
Last updated in NPPESAug 10, 2021
Details
- NPI
- 1174149751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Johnny Michael Groeling
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2020
- Certification date
- Aug 5, 2021
- Last updated
- Aug 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 13037 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1500 Summer StStamford, CT 06905-5132
Phone 203-303-9802
Mailing address
650 W 42nd St Apt 1421New York, NY 10036-4370
Phone 631-352-7746
Other practice locations
650 W 42nd St Apt 1421
New York, NY 10036-4370
New York, NY 10036-4370
Phone 631-352-7746
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