Jack Grodner, DDS
General Practice Dentistry · Springfield, OH
Practice location
413 E Home RdSpringfield, OH 45503-2708
- Phone
- (937) 390-3077
NPI record
- NPI
- 1932115011
- Entity type
- Individual (Type 1)
- Enumeration date
- July 31, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
15077 | OH |
About Dr. Grodner
Jack Grodner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 413 E Home Rd, Springfield, OH 45503-2708. The NPI number 1932115011 was assigned on July 31, 2006 and the record was last updated on July 8, 2007.
Dr. Grodner lists a license in the registry: #15077 (OH) 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 Jack Grodner, DDS?
The NPI number is 1932115011.
What is the phone number of Dr. Grodner?
The phone number listed for the practice location is (937) 390-3077.
Where is Dr. Grodner located?
413 E Home Rd, Springfield, OH 45503-2708.
What is the taxonomy code for Dr. Grodner?
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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