Cody Shawn Groll, DDS

Dentist · Pittsburg, KS

Individual Active NPI

NPI number 1215662788

Practice location

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone
(202) 319-8736
Fax
(620) 231-5062

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NPI record

NPI
1215662788
Entity type
Individual (Type 1)
Enumeration date
July 19, 2022
Last updated
February 3, 2023
Certified
February 3, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 61967 KS
Dentist 122300000X 12891810-9922 UT

Mailing address

PO Box 1808
Pittsburg, KS 66762-1808

About Dr. Groll

Cody Shawn Groll, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3011 N Michigan St, Pittsburg, KS 66762-2546. The NPI number 1215662788 was assigned on July 19, 2022 and the record was last updated on February 3, 2023.

Dr. Groll lists 2 licenses in the registry: #61967 (KS) for Dentist; #12891810-9922 (UT) 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 Cody Shawn Groll, DDS?

The NPI number is 1215662788.

What is the phone number of Dr. Groll?

The phone number listed for the practice location is (202) 319-8736.

Where is Dr. Groll located?

3011 N Michigan St, Pittsburg, KS 66762-2546.

What is the taxonomy code for Dr. Groll?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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