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Contact Information

TAYLOR E GRUNEISEN
USA DENTAC
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY13602
 Phone: 315-772-8891
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for TAYLOR E GRUNEISEN · (Female)

NPI # 1609487438
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2020
Last updated 05/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 028127
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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