Individual provider · Type 1 NPI
Thomas Grandville, DDS
Pediatric Dentistry · Port Jefferson Station, NY
NPI number
1487949236
Active
Practice location
8 Medical Dr
Port Jefferson Station, NY 11776-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 056816 (NY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5 other providers at this address
- Suffolk Pediatric DentistryPediatric Dentistry Port Jefferson Station, NY NPI 1598997900
- Patricia I. Juarez, DMDPediatric Dentistry Port Jefferson Station, NY NPI 1275672453
- Philip Michael Coniglio Jr., DDSPediatric Dentistry Port Jefferson Station, NY NPI 1851432793
- Robert J. Serino, DDSPediatric Dentistry Port Jefferson Stn, NY NPI 1487793642
- Yonatan Cohen, DMD, MSOrthodontics and Dentofacial Orthopedics Dentistry Port Jefferson Station, NY NPI 1912375791
Other pediatric dentistry providers in Port Jefferson Station
About NPI 1487949236
Thomas Grandville, DDS's National Provider Identifier is 1487949236, issued on Jun 9, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 19, 2017.