Provider Demographics
NPI:1467886861
Name:GROVER, PUNEETA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PUNEETA
Middle Name:
Last Name:GROVER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DUNDAR RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3513
Mailing Address - Country:US
Mailing Address - Phone:973-993-7020
Mailing Address - Fax:973-993-7040
Practice Address - Street 1:11 DUNDAR RD STE 102
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3513
Practice Address - Country:US
Practice Address - Phone:973-993-7020
Practice Address - Fax:973-993-7040
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02547800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist