Provider Demographics
NPI:1891082012
Name:GROVER, JANMEET SINGH (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANMEET
Middle Name:SINGH
Last Name:GROVER
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 1:119 WICKHAM AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3714
Mailing Address - Country:US
Mailing Address - Phone:845-343-9919
Mailing Address - Fax:845-344-0076
Practice Address - Street 1:119 WICKHAM AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3714
Practice Address - Country:US
Practice Address - Phone:845-343-9919
Practice Address - Fax:845-344-0076
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024799001223G0001X
PADS0387651223G0001X
CT105801223G0001X
NY0570971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice