| Terry V. Gruelle P.s.c. | |
| 
					40 N Grand Ave Suite 301 Fort Thomas KY 41075-4107  | |
| (859) 441-2369 | |
| (859) 442-3222 | 
| Full Name | Terry V. Gruelle P.s.c. | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 40 N Grand Ave, Fort Thomas, Kentucky | 
| Authorized Official Name and Position | Terry Vernon Gruelle (PRESIDENT) | 
| Authorized Official Contact | 8593914000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Terry V. Gruelle P.s.c. 40 N Grand Ave Suite 301 Fort Thomas KY 41075-4107 Ph: (859) 441-2369  | Terry V. Gruelle P.s.c. 40 N Grand Ave Suite 301 Fort Thomas KY 41075-4107 Ph: (859) 441-2369  | 
| NPI Number | 1275698953 | 
|---|---|
| Provider Enumeration Date | 12/24/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275698953 | NPI | - | NPPES | 
| 6004118300 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4118 (Kentucky) | Primary | 
Herald Family Denistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Alexandria Pike Ste 100, Fort Thomas, KY 41075 Phone: 859-781-0221 Fax: 859-781-0288  | |
Dhda Hfd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Grand Ave Ste 10and11, Fort Thomas, KY 41075 Phone: 203-921-6141  | |
Ross Oates Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Grand Ave Ste 10, Fort Thomas, KY 41075 Phone: 859-441-1900 Fax: 859-441-1900  | |
Albert E Bathiany Iv Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 N Fort Thomas Ave, Fort Thomas, KY 41075 Phone: 859-781-4100 Fax: 859-781-0170  | |
Ross Oates Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Grand Avenue, Suite 10, Fort Thomas, KY 41075 Phone: 859-441-1900  | |
Tso Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075 Phone: 859-441-2369 Fax: 859-442-3222  |