Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS GRANDVILLE, D.D.S.
ActiveDR. THOMAS GRANDVILLE, D.D.S. is a Pediatric Dentistry healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1487949236 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1487949236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2011 (15.216718735751 yrs)
- Last Updated
- Apr 19, 2017
- License
-
056816 (NY)
Practice Information
- Address
-
8 MEDICAL DRPORT JEFFERSON STATION, NY, 117761601Browse NY providers · Browse ZIP 11776
- Phone
- 6319288585
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARIA ELIADES | DMD | 1366581522 |
| MRS. PATRICIA I JUAREZ | DMD | 1275672453 |
| PHILIP MICHAEL CONIGLIO JR. | DDS | 1851432793 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.