OrganizationAndrew D. Gruver Dds And Associates PaDentistDental ProvidersPractice Address407 Crain Hwy S, Glen Burnie, MD 21061-3670(410) 766-2744PECOS EnrollmentBased on the most recent information from CMS, provider Andrew D. Gruver Dds And Associates Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1023174554Provider TypeOrganizationFull NameAndrew D. Gruver Dds And Associates PaSubpartNoEnumeration Date12/29/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address407 Crain Hwy S, Glen Burnie, MD 21061-3670Phone(410) 766-2744FaxUnlisted FaxMailing LocationMailing Address407 Crain Hwy S, Glen Burnie, MD 21061-3670Phone(410) 766-2744FaxUnlisted FaxAuthorized OfficialNameGruver, Andrew Dean (President)Phone(410) 766-2744Provider TaxonomiesCodeDescriptionLicenseCode122300000XDescriptionDentistDental ProvidersLicense7170MarylandCode122300000XDescriptionDentistDental ProvidersLicense13735MarylandCode1223E0200XDescriptionDentistDental ProvidersLicense5755Maryland