John R. Grittner

Dentist · St. Paul, MN

Individual Active NPI

NPI number 1164734976

Practice location

205 S Wabasha St
St. Paul, MN 55107-1805
Phone
(651) 293-8300
Fax
(651) 293-8130

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NPI record

NPI
1164734976
Entity type
Individual (Type 1)
Enumeration date
July 9, 2010
Last updated
October 16, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D12799 MN

Mailing address

8170 33rd Ave S
Mailstop 21113a
Bloomington, MN 55425
Phone
(952) 883-5155
Fax
(952) 883-5160

About John Grittner

John R. Grittner is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 205 S Wabasha St, St. Paul, MN 55107-1805. The NPI number 1164734976 was assigned on July 9, 2010 and the record was last updated on October 16, 2015.

John Grittner lists a license in the registry: #D12799 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John R. Grittner?

The NPI number is 1164734976.

What is the phone number of John Grittner?

The phone number listed for the practice location is (651) 293-8300.

Where is John Grittner located?

205 S Wabasha St, St. Paul, MN 55107-1805.

What is the taxonomy code for John Grittner?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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