Whalio Doctors

NPI 1053874297

Robert Grasso, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Wpafb, OH

Practice location

Address
4881 Sugar Maple Dr Attn: 88 Medical Group, Wpafb, OH 45433-5529
Phone
(372) 579-5889
Mailing address
88th Medical Group 4881 Sugar Maple Dr., Wpafb, OH 45433

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 30.027678 (OH)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 35607 (TX)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 35607 (TX)

Registry record

NPI
1053874297
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Apr 2019
Record last updated
2 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.