Jason Michael Grinter, DDS

Dentist · Rockford, IL

Individual Active NPI

NPI number 1255401899

Practice location

275 N Phelps Ave
Rockford, IL 61108-2434
Phone
(815) 484-8678

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NPI record

NPI
1255401899
Entity type
Individual (Type 1)
Enumeration date
November 9, 2006
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

Mailing address

4316 N Clarendon Ave
#1611
Chicago, IL 60613-1562
Phone
(773) 369-5428

About Dr. Grinter

Jason Michael Grinter, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 275 N Phelps Ave, Rockford, IL 61108-2434. The NPI number 1255401899 was assigned on November 9, 2006 and the record was last updated on July 9, 2007.

Frequently asked questions

What is the NPI number of Jason Michael Grinter, DDS?

The NPI number is 1255401899.

What is the phone number of Dr. Grinter?

The phone number listed for the practice location is (815) 484-8678.

Where is Dr. Grinter located?

275 N Phelps Ave, Rockford, IL 61108-2434.

What is the taxonomy code for Dr. Grinter?

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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