location
search-icon
person
Dr. Jack Grodner, DDS
General Practice Dentistry in Springfield, Ohio
NPI 1932115011

Jack Grodner is a General Practice Dentistry based in Springfield, OH and is specialized in General Practice. Jack Grodner practices in Springfield, OH and has the professional credentials of DDS. The NPI Number for Jack Grodner is 1932115011 and holds a License No. 15077 (Ohio).

The current practice location address for Jack Grodner is 413 E Home Rd, Springfield, OH and can be reached out via phone at 937-390-3077.

Location: 413 E Home Rd, Springfield, OH, 45503-2708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932115011
Provider Name
Jack Grodner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
413 E Home Rd, Springfield, OH, 45503-2708
Phone Number
937-390-3077
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
107461 01 OH DORAL LOCATOR NUMBER
310916628026 01 OH CARESOURCE-MEDICAID
0341446 05 OH
institution
Provider Business Practice Location Address Details
Address
413 E Home Rd
City
Springfield
State
Ohio
Zip
45503-2708
Phone Number
937-390-3077
Fax Number
person
Provider Business Mailing Address Details
Address
413 E Home Rd
City
Springfield
State
Ohio
Zip
45503-2708
Phone Number
937-390-3077
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
15077 (Ohio)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.