| Kevin J. Grant D.d.s.,p.c. | |
|
8752a Parsons Blvd Jamaica NY 11432-3317 | |
| (718) 523-7679 | |
| (718) 523-7689 |
| Full Name | Kevin J. Grant D.d.s.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 8752a Parsons Blvd, Jamaica, New York |
| Authorized Official Name and Position | Kevin J Grant (OWNER) |
| Authorized Official Contact | 7185237679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J. Grant D.d.s.,p.c. 8752a Parsons Blvd Jamaica NY 11432-3317 Ph: (718) 523-7679 | Kevin J. Grant D.d.s.,p.c. 8752a Parsons Blvd Jamaica NY 11432-3317 Ph: (718) 523-7679 |
| NPI Number | 1407229008 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407229008 | NPI | - | NPPES |
| 01383568 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044444 (New York) | Primary |
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