Roland N Grubb, DDS is a
Dentist - General Practice based in Willow Creek, California. Roland N Grubb is licensed to practice in California (license number 15049) and his current practice location is
40618 Hwy 299, Willow Creek, California. He can be reached at his office (for appointments etc.) via phone at
(530) 629-2155.
NPI number for Roland N Grubb is 1033363403 and his current mailing address is Po Box 1125, Willow Creek, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033363403.
Healthcare Provider's Profile
| Full Name | Roland N Grubb |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 40618 Hwy 299, Willow Creek, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033363403
- Provider Enumeration Date: 11/11/2008
- Last Update Date: 11/11/2008
Medical Identifiers
Medical identifiers for Roland N Grubb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033363403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 15049 (California) | 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. Roland N Grubb 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 |
|---|
Roland N Grubb, DDS
Po Box 1125,
Willow Creek, CA 95573-1125
Ph: (530) 629-2155 | Roland N Grubb, DDS
40618 Hwy 299,
Willow Creek, CA 95573
Ph: (530) 629-2155 |
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