Provider Demographics
NPI:1932294675
Name:GRABARZ, NICHOLAS WARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:WARD
Last Name:GRABARZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 PRINCETON GLENDALE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069
Mailing Address - Country:US
Mailing Address - Phone:513-870-0700
Mailing Address - Fax:513-870-0752
Practice Address - Street 1:8300 PRINCETON GLENDALE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-870-0700
Practice Address - Fax:513-870-0752
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30018020122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist