MR. ALBERT FITZ GRUBER DMD NPI 1386714210

NPI Information

  • NPI: 1386714210
  • Provider Name: MR. ALBERT FITZ GRUBER, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY
    875 UNION AVE
    MEMPHIS, IL
    ZIP 38163
  • Phone: (901) 448-6271

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NPI Details

MR. Albert Fitz Gruber, DMD is a general practice dentist in Memphis, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Albert Fitz Gruber, DMD NPI is 1386714210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY
875 UNION AVE
MEMPHIS, IL
ZIP 38163
Phone: (901) 448-6271
Fax: (708) 339-5567

The enumeration date for this NPI number is 11/8/2006 and was last updated on 10/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019-019995ILLINOISNo
21223G0001XDentistGeneral Practice12009737AINDIANANo
31223G0001XDentistGeneral Practice6830LOUISIANANo
41223G0001XDentistGeneral Practice11979TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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