DR. Jack Grodner, DDS
NPI #1932115011 in Springfield, Ohio
Provider Information
- NPI Number
- 1932115011
- Entity Type
- Individual
- Name
- DR. Jack Grodner, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 413 E HOME RD
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45503-2708
- Phone
- (937) 390-3077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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