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Contact Information

STEVEN GRANDILLO, DDS
556-20 NORTH COUNTRY RD
SAINT JAMES, NY11780
 Phone: 631-686-5042
 Fax: 631-686-5044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for STEVEN GRANDILLO · (Male)

NPI Number 1023136876
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/27/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 048345
Hospital affiliation(s) Not Available
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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