Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902323306 Individual Practitioner Female Practitioner

Dr. Jessica Janina Gruden , DMD

Dentist - General Practice • Riverview, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Gruden, DMD is a registered healthcare professional specializing in Dentist - General Practice in Riverview, FL. Practice services are available at 11693 BOYETTE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11693 Boyette Rd

Riverview, FL 335695531

Telephone 8136722066
Fax 8133157190
Associated Practice Facility / Clinic
🏢 West Coast Dental Partners Facility NPI 1194699561

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Riverview, FL

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

Practicing in Riverview, 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: 2022-11-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN27547

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30.025113

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh
14089166 (OH)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 29, 2022

Registered at 11693 BOYETTE RD, RIVERVIEW, FL 335695531 (Tel: 8136722066)

📍
Updated Business Mailing Address November 29, 2022

Registered at 11693 BOYETTE RD, RIVERVIEW, FL 335695531 (Tel: 8136722066)

NPI Profile Active August 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2017

Registered at 1105 CANYON VIEW RD, SAGAMORE HILLS, OH 440672298 (Tel: (330) 784-7285)

📍
Updated Business Mailing Address August 25, 2017

Registered at 1105 CANYON VIEW RD, SAGAMORE HILLS, OH 440672298 (Tel: 3307847285)

👤
Provider Name / Credentials Updated August 25, 2017

Recorded as JESSICA GRUDEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2017

Dentist (License #30.025113 in OH)

🟢
Initial NPI Registration & Enumeration August 25, 2017

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: 1902323306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2017
Last Update: November 29, 2022
Sole Proprietor: Yes

Mailing Address

11693 Boyette Rd

Riverview, FL 335695531

Phone: 8136722066

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.