Individual provider · Type 1 NPI
Sukrit Grewal
Pediatric Dentistry · Lincoln Park, MI
NPI number
1902210065
Active · reactivated Aug 11, 2015
Practice location
3778 Dix Hwy
Lincoln Park, MI 48146-3807
Mailing address
248 Orleans St Apt 102
Detroit, MI 48207-4094
Other practice locations
- 1 Kneeland Street, Boston, MA 02111 · (617) 636-6641
- 1 Kneeland Street, Boston, MA 02111 · (617) 636-6641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2901022062 (MI) |
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.
Another provider at this address
About NPI 1902210065
Sukrit Grewal's National Provider Identifier is 1902210065, issued on Jun 17, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lincoln Park, MI. The record was last updated on Mar 17, 2018.