Jesse G. Grantz, DDS

General Practice Dentistry · Fairmont, MN

Individual Active NPI

NPI number 1912670472

Practice location

800 Medical Center Dr Ste 490
Fairmont, MN 56031-4575
Phone
(507) 432-3199

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NPI record

NPI
1912670472
Entity type
Individual (Type 1)
Enumeration date
July 29, 2021
Last updated
July 29, 2021
Certified
July 29, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D14646 MN

About Dr. Grantz

Jesse G. Grantz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 800 Medical Center Dr Ste 490, Fairmont, MN 56031-4575. The NPI number 1912670472 was assigned on July 29, 2021 and the record was last updated on July 29, 2021.

Dr. Grantz lists a license in the registry: #D14646 (MN) 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 Jesse G. Grantz, DDS?

The NPI number is 1912670472.

What is the phone number of Dr. Grantz?

The phone number listed for the practice location is (507) 432-3199.

Where is Dr. Grantz located?

800 Medical Center Dr Ste 490, Fairmont, MN 56031-4575.

What is the taxonomy code for Dr. Grantz?

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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