Grandgenett Family Dental, PC

NPI #1770750028 in Ames, Iowa

Provider Information

NPI Number: 1770750028
Entity Type: Organization
Organization Name: Grandgenett Family Dental, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 14, 2008
Last Updated: May 14, 2008

Practice Location

Address: 2208 PHILADELPHIA ST
City: Ames
State: Iowa
ZIP Code: 50010-8700
Phone: (515) 956-3426

Authorized Official

Name: DR. CRAIG A GRANDGENETT, DDS
Title: OWNER/PRESIDENT
Phone: (515) 956-3426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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