DEREK GRZANICH, DDS
Dentist - Endodontics
Active
Individual
NPI: 1487736112
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 019026724 (IL) |
| Dentist - Endodontics | 1223E0200X | Yes | 29339 (TX) |
Frequently Asked Questions
NPI 1487736112 is the National Provider Identifier for DEREK GRZANICH, DDS, a Dentist - Endodontics provider located in Peoria, IL. This NPI was enumerated on October 20, 2006.
DEREK GRZANICH, DDS practices at 9016 N ALLEN RD, SUITE B, Peoria, IL 61615.
Quick Facts
- NPI
- 1487736112
- Type
- Individual
- Enumerated
- Oct 20, 2006
- Last Updated
- Sep 12, 2025
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