Individual provider · Type 1 NPI

Charles Frederick Grannum, MD

Prosthodontics · Brooklyn, NY

NPI number 1205904208 Active

Practice location

1536 Bedford Ave
Brooklyn, NY 11216-4117

Call (800) 376-5566 Map

Mailing address

PO Box 29889
New York, NY 10087-9889

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X040024 (NY)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1205904208

Charles Frederick Grannum, MD's National Provider Identifier is 1205904208, issued on Nov 30, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.