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Search › New York › 1223P0221X

Thomas Grandville, D.D.S

NPI 1487949236 · on the registry since 2011

Practice

Address
8 Medical Dr
Port Jefferson Station, NY 11776
Phone
(631) 928-8585
Organisation at this address
Coniglio Dental Pc
Suffolk Pediatric Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York