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Charles Frederick Grannum, MD
Prosthodontist in Brooklyn, New York
NPI 1205904208

Charles Frederick Grannum is a Prosthodontist based in New York, NY and is specialized in Prosthodontics. Charles Frederick Grannum practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Charles Frederick Grannum is 1205904208 and holds a License No. 040024 (New York).

The current practice location address for Charles Frederick Grannum is 1536 Bedford Ave, Brooklyn, NY and can be reached out via phone at 800-376-5566.

Location: 1536 Bedford Ave, Brooklyn, NY, 10087-9889
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Provider Profile Details
NPI Number
1205904208
Provider Name
Charles Frederick Grannum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1536 Bedford Ave, Brooklyn, NY, 10087-9889
Phone Number
800-376-5566
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040024 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
1536 Bedford Ave
City
State
Zip
11216-4117
Phone Number
800-376-5566
Fax Number
person
Provider Business Mailing Address Details
Address
1536 Bedford Ave
City
State
Zip
11216-4117
Phone Number
800-376-5566
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
License No.
040024 (New York)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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