Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417637596 Individual Practitioner Male Practitioner

Dr. Nicholas Banks Grubor , DMD

Dentist - General Practice • Middleburg, FL

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Grubor, DMD is a registered healthcare professional specializing in Dentist - General Practice in Middleburg, FL. Practice services are available at 1805 BLANDING BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1805 Blanding Blvd Ste 101

Middleburg, FL 320683839

Telephone 9042143476

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Middleburg, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Middleburg, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 28383

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

450100 State Road 200

Callahan, FL 320115064

Phone: 9048796998

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 24, 2023

NPI status registered as active in NPPES database

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Updated Practice Location July 24, 2023

Registered at 1805 BLANDING BLVD STE 101, MIDDLEBURG, FL 320683839 (Tel: 9042143476)

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Updated Business Mailing Address July 24, 2023

Registered at 2215 LAKESHORE DR N, FLEMING ISLAND, FL 320037707 (Tel: 9044604911)

👤
Provider Name / Credentials Updated July 24, 2023

Recorded as NICHOLAS GRUBOR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2023

Dentist (License #28383 in FL)

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Initial NPI Registration & Enumeration July 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417637596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2023
Last Update: July 24, 2023
Sole Proprietor: No

Mailing Address

2215 Lakeshore Dr N

Fleming Island, FL 320037707

Phone: 9044604911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.