DR. Thomas Grandville, D.D.S.
NPI #1487949236 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1487949236
- Entity Type
- Individual
- Name
- DR. Thomas Grandville, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Jun 9, 2011
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 8 MEDICAL DR
- State
- New York
- ZIP Code
- 11776-1601
- Phone
- (631) 928-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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