Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK GRODNER, DDS
Active Sole ProprietorGeneral Dentistry · SPRINGFIELD, OH
Registration Details
- NPI Number
- 1932115011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (19.725382624082 yrs)
- Last Updated
- Jul 8, 2007
- License
-
15077 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
413 E HOME RDSPRINGFIELD, OH, 455032708Browse OH providers · Browse ZIP 45503
- Phone
- 9373903077
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SPRINGFIELD, OH
| Name | Credential | NPI |
|---|---|---|
| DR. GARY ALLEN THOMAS | DDS | 1679565212 |
| DR. FREDRICK C KROGG | D.D.S. | 1144298753 |
| DR. RICHARD WALDREN | D.D.S. | 1073544540 |
| DR. DAVID B ATKINS | DDS | 1346272481 |
| MR. JACK R KNEISLEY | DDS | 1295749711 |
| CATHERINE CROMPTON | — | 1427164946 |
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.