Roger Grannum Dds, P.c. - Dental Clinic in Brooklyn, NY

Roger Grannum Dds, P.c. is a dental clinic (Dentist - Oral And Maxillofacial Surgery) in Brooklyn, New York. The current practice location for Roger Grannum Dds, P.c. is 730 Broadway, Brooklyn, New York. For appointments, you can reach them via phone at (917) 816-0481. The mailing address for Roger Grannum Dds, P.c. is 131 Knollwood Dr, Watchung, New Jersey and phone number is (917) 816-0481.

Roger Grannum Dds, P.c. is licensed to practice in New York (license number 052633) and its NPI number is 1568600757. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (917) 816-0481.

Contact Information

Roger Grannum Dds, P.c.
730 Broadway
Brooklyn
NY 11206-4403
(917) 816-0481
Not Available

Map and Direction


Dental Care Clinic Profile

Full NameRoger Grannum Dds, P.c.
SpecialityDentist - Oral And Maxillofacial Surgery
Location730 Broadway, Brooklyn, New York
Authorized Official Name and PositionRoger Grannum (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact9178160481
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roger Grannum Dds, P.c.
131 Knollwood Dr
Watchung
NJ 07069-6245

Ph: (917) 816-0481
Roger Grannum Dds, P.c.
730 Broadway
Brooklyn
NY 11206-4403

Ph: (917) 816-0481

NPI Details:

NPI Number1568600757
Provider Enumeration Date01/27/2009
Last Update Date09/29/2011

Medical Identifiers

Medical identifiers for Roger Grannum Dds, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568600757NPI-NPPES
03084764MedicaidNY
0334491MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 052633 (New York)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.