DR. THOMAS GRANDVILLE, D.D.S.
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1487949236
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 056816 (NY) |
Frequently Asked Questions
NPI 1487949236 is the National Provider Identifier for DR. THOMAS GRANDVILLE, D.D.S., a Dentist - Pediatric Dentistry provider located in Port Jefferson Station, NY. This NPI was enumerated on June 9, 2011.
DR. THOMAS GRANDVILLE, D.D.S. practices at 8 MEDICAL DR, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1487949236
- Type
- Individual
- Enumerated
- Jun 9, 2011
- Last Updated
- Apr 19, 2017
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