DR. TOD REED GRANGER (NPI# 1356462618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356462618 |
| Entity Type | Individual |
| Full Name | DR. TOD REED GRANGER |
| Credential | DDS |
| Practice Address |
3330 Noyac Road Bldg B Sag Harbor NY 11963 |
| Practice Telephone | 6317254341 |
| Practice Fax Number | 6317256410 |
| Mailing Telephone | 6317254341 |
| Mailing Fax Number | 6317256410 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0349381 | NY | Dental Providers |
| Street Address |
3330 NOYAC ROAD BLDG B |
| City | SAG HARBOR |
| State | NY |
| Zip Code | 11963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549807 | Twentyseveneastphysiotherapy PC | Physical Therapist | 34 Bay Street, Suite 206, Sag Harbor, NY 11963 | 2020-02-10 |
| 1407351646 | Sagaponack Medical PC | Clinic/Center | 3350 Noyack Rd, Sag Harbor, NY 11963 | 2018-03-29 |
| 1821331604 | Diana Immenhausen | Family Medicine | 3330 Noyac Road Burkeshire Court, Bldg A, Sag Harbor, NY 11963 | 2013-03-31 |
| 1386849651 | Kimberlee A Sherman | Registered Nurse | 1155 Bridghampton Turnpike, Bridgehampton, NY 11963 | 2007-06-18 |
| 1720280316 | Glenn Neal Goodman | Chiropractor | 3334 Noyac Road, Sag Harbor, NY 11963 | 2007-06-05 |
| 1811198203 | Jaime Lynn Kosinski | Speech-Language Pathologist | 22 Oak Drive, North Haven, Sag Harbor, NY 11963 | 2007-05-31 |
| 1942425798 | Victoria L Sharp | Internal Medicine | 11 Ninevah Pl, Sag Harbor, NY 11963 | 2007-04-16 |
| 1841325628 | Suzanne Jayne Kirby | Chiropractor | 3334 Noyac Rd, Sag Harbor, NY 11963 | 2007-02-22 |
| 1427194745 | Sag Harbor Ufsd | Local Education Agency (LEA) | 200 Jermain Avenue, Sag Harbor, NY 11963 | 2007-01-30 |
| 1710045208 | Stephen James Petruccelli | Chiropractor | 39 Division Street, Sag Harbor, NY 11963 | 2006-12-05 |
| Find all providers in zip 11963 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SAG HARBOR |
| Zip Code | 11963 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.