Provider Demographics
NPI:1265656995
Name:EUGENE K. MILLER DDS AND FRED J. GROPP DMD
Entity Type:Organization
Organization Name:EUGENE K. MILLER DDS AND FRED J. GROPP DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:GROPP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-364-6364
Mailing Address - Street 1:8135 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5233
Mailing Address - Country:US
Mailing Address - Phone:412-364-6364
Mailing Address - Fax:412-364-7773
Practice Address - Street 1:8135 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5233
Practice Address - Country:US
Practice Address - Phone:412-364-6364
Practice Address - Fax:412-364-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021243L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty