Michael Thomas Grassa

General Practice Dentistry · Commack, NY

Individual Active NPI

NPI number 1669026142

Practice location

646 Commack Rd
Commack, NY 11725-5426
Phone
(631) 499-7280

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NPI record

NPI
1669026142
Entity type
Individual (Type 1)
Enumeration date
August 1, 2019
Last updated
August 1, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 060463 NY

About Michael Grassa

Michael Thomas Grassa is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 646 Commack Rd, Commack, NY 11725-5426. The NPI number 1669026142 was assigned on August 1, 2019 and the record was last updated on August 1, 2019.

Michael Grassa lists a license in the registry: #060463 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Thomas Grassa?

The NPI number is 1669026142.

What is the phone number of Michael Grassa?

The phone number listed for the practice location is (631) 499-7280.

Where is Michael Grassa located?

646 Commack Rd, Commack, NY 11725-5426.

What is the taxonomy code for Michael Grassa?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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