Provider Demographics
NPI:1134142805
Name:GRUPP, WILLIAM ARTHUR II (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:GRUPP
Suffix:II
Gender:M
Credentials:DDS
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Mailing Address - Street 1:944 GLENWOOD STATION LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1480
Mailing Address - Country:US
Mailing Address - Phone:434-973-7011
Mailing Address - Fax:434-973-0160
Practice Address - Street 1:944 GLENWOOD STATION LN
Practice Address - Street 2:SUITE 203
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1480
Practice Address - Country:US
Practice Address - Phone:434-973-7011
Practice Address - Fax:434-973-0160
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010078261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice