Healthcare Provider Details

I. General information

NPI: 1508545351
Provider Name (Legal Business Name): JULIA KAITLYN GRUVER DDS, MSD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106C MAIN ST
MILFORD OH
45150-1706
US

IV. Provider business mailing address

1106 MAIN ST
MILFORD OH
45150-1706
US

V. Phone/Fax

Practice location:
  • Phone: 513-831-3434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number12014443A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number30.028440
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: