National Provider Identifier Database

DEREK P GRZANICH, DDS – NPI #1487736112
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

DEREK P GRZANICH, DDS
9016 N ALLEN RD
SUITE B
PEORIA, IL61615-1513
Phone: 309-690-4500
Fax: 309-690-4500
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for DEREK P GRZANICH

NPI Number 1487736112
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/20/2006
Last updated 09/12/2025 - About 9 months ago
Sole proprietor1 No
Identifiers
  • IL License #: 019026724
  • TX License #: 29339
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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