Grandville, Thomas

Grandville, Thomas is an individual health care provider with primary practice located at 8 Medical Dr , Port Jefferson Station NY 11776-1601. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Grandville, Thomas can be contacted via phone (631) 928-8585.

Contact Information

Primary practice address
8 Medical Dr Port Jefferson Station NY 11776-1601
Phone: (631) 928-8585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 056816 New York

Profile Details

NPI number 1487949236
LBN Legal business name Grandville, Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2011
Last updated Apr 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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