Provider Demographics
NPI:1467676171
Name:GROPP, FRED JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:JOSEPH
Last Name:GROPP
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021243L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice