Mr Albert Fitz Gruber Ii, DMD is a 
Dentist - General Practice based in Memphis, Illinois. Mr Albert Fitz Gruber Ii is licensed to practice in Tennessee (license number 11979) and his current practice location is 
University Of Tennessee College Of Dentistry, 875 Union Ave, Memphis, Illinois. He can be reached at his office (for appointments etc.) via phone at 
(901) 448-6271.
NPI number for Mr Albert Fitz Gruber Ii is 1386714210 and his current mailing address is 1697 Lisson Lane, Collierville, Tennessee. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386714210.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mr Albert Fitz Gruber Ii | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | University Of Tennessee College Of Dentistry, Memphis, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1386714210
 - Provider Enumeration Date: 11/08/2006
 - Last Update Date: 10/24/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Mr Albert Fitz Gruber Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1386714210 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223G0001X | Dentist - General Practice  | 019-019995 (Illinois) | Secondary | 
| 1223G0001X | Dentist - General Practice  | 12009737A (Indiana) | Secondary | 
| 1223G0001X | Dentist - General Practice  | 6830 (Louisiana) | Secondary | 
| 1223G0001X | Dentist - General Practice  | 11979 (Tennessee) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Albert Fitz Gruber Ii is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Mr Albert Fitz Gruber Ii, DMD 1697 Lisson Lane, Collierville, TN 38017 Ph: (708) 212-7995 | Mr Albert Fitz Gruber Ii, DMD University Of Tennessee College Of Dentistry, 875 Union Ave, Memphis, IL 38163 Ph: (901) 448-6271 | 
		
		 
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