SEDERIC GRANT


Address: 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443
Phone: 6126594900

SEDERIC GRANT (NPI# 1720696198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720696198
Entity Type Individual
Full Name SEDERIC GRANT
Credential DDS
Practice Address 701 25th Ave S Ste 400
Minneapolis
MN 55454-1443
Practice Telephone 6126594900
Mailing Telephone 6126594900
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry 		R783 MN Dental Providers

Office Location

Street Address 701 25TH AVE S STE 400
City MINNEAPOLIS
State MN
Zip Code 55454-1443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790870392 Ronald Anthony Curran Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2006-10-03
1811512999 Bryan Nikkilas Henrie Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2020-06-14
1285287409 Megan Lynn Weber Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2019-07-17
1093277592 Quentin Knutson Student in an Organized Health Care Education/Training Program 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2019-04-03
1861927675 Devin Morin Student in an Organized Health Care Education/Training Program 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2017-04-30
1285011965 Stephen Edmund Solie Student in an Organized Health Care Education/Training Program 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2015-05-01
1093121626 Taekhyun Rhee Student in an Organized Health Care Education/Training Program 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2014-07-02
1699049627 Cory Peterson Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2012-03-08
1386924785 David Scott Jacobson Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454 2011-08-17
1699903609 Helen H.y. Ching Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2009-06-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
Find all providers in zip 55454

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962581520 Thomas Myron Beckman Dentist 515 Delaware Street S.e., 6-150 Moos Tower - University of Minnesota, Minneapolis, MN 55455 2006-11-03
1790870392 Ronald Anthony Curran Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2006-10-03
1811512999 Bryan Nikkilas Henrie Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 2020-06-14
1215317730 Emma Zimmerman Dentist 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 2015-06-01
1558772863 James Lipon Dentist 701 Park Ave, Minneapolis, MN 55415 2014-05-08
1730442120 Elise Watson Sarvas Dentist 515 Delaware St Se, Office 6-150d, Minneapolis, MN 55455-0357 2012-06-20
1013275049 Julio Sotillo Rodriguez Dentist 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 2012-04-27
1386924785 David Scott Jacobson Dentist 701 25th Ave S Ste 400, Minneapolis, MN 55454 2011-08-17
1831492511 Darren Isfeld Dentist 515 Delaware St Se, 615 Moos Tower, Minneapolis, MN 55455-0357 2010-12-17
1417191842 Carmen B Lammeier Dentist 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 2009-04-29
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55454

Improve Information

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Dataset Information

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.

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