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NPI Profile for DEREK P GRZANICH in PEORIA, IL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endodontics |
1223E0200X | |||
General Practice |
1223G0001X |
| NPI Number | 1487736112 |
|
| Status | Active | |
| Credentials | DDS (Doctor of Dental Surgery) | |
| Entity | Individual | |
| Enumeration date | 10/20/2006 | |
| Last updated | 09/12/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEREK P GRZANICH
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DEREK P GRZANICH, DDS