Individual provider · Type 1 NPI

Stas Grandi, DMD, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Sonora, CA

NPI number 1548547425 Active

Practice location

800 Morning Star Dr Ste A
Sonora, CA 95370-9260

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X0401413384 (VA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDEN.00203854 (CO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1548547425

Stas Grandi, DMD, M.S.D.'s National Provider Identifier is 1548547425, issued on Nov 7, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sonora, CA. The record was last updated on Dec 6, 2023.