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Charles Frederick Grannum

Prosthodontist

1536 Bedford Ave
Brooklyn , New York 11216-4117

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Charles Frederick Grannum

Prosthodontist

1536 Bedford Ave
Brooklyn , New York 11216-4117

(800) 376-5566

Write a Review Save Call

Charles Frederick Grannum

Prosthodontist

1536 Bedford Ave
Brooklyn , New York 11216-4117

(800) 376-5566 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthodontist

Languages spoken

  • English

Location

1536 Bedford Ave Brooklyn , New York 11216-4117

First Address

  • Charles Frederick Grannum
  • Po Box 29889
  • New York, NY
  • Zip : 10087-9889
  • Phone : (800) 376-5566

Second Address

  • Charles Frederick Grannum
  • 1536 Bedford Ave
  • Brooklyn, NY
  • Zip : 11216-4117
  • Phone : (800) 376-5566

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FAQs


Where did Charles Frederick Grannum attend graduate school?

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Where did Charles Frederick Grannum do his residency?

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Where did Charles Frederick Grannum do his fellowship?

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Is Charles Frederick Grannum board certified?

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What type of doctor is Charles Frederick Grannum

Prosthodontist

In what state does Charles Frederick Grannum practice in?

New York

Where is Charles Frederick Grannum ’s practice located?

1536 Bedford Ave , Brooklyn, New York, 11216-4117

What is Charles Frederick Grannum ’s gender?

Male

Is Charles Frederick Grannum a sole practitioner?

No

Is Charles Frederick Grannum accepting new patients?

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What languages does Charles Frederick Grannum speak?

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Does Charles Frederick Grannum accept insurance?

Yes, Charles Frederick Grannum accepts insurance

Does Charles Frederick Grannum offers telemedicine?

Charles Frederick Grannum has not indicated if he offers telemedicine

What is Charles Frederick Grannum ’s professional license number?

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What is Charles Frederick Grannum ’s NPI number?

1205904208

Does Charles Frederick Grannum have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0700X Prosthodontist 040024 NY

National Provider Identifier

NPI 1205904208
Provider Name Charles Frederick Grannum
First Address New York, NY 10087-9889
Second Address Brooklyn, NY 11216-4117
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/11/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
040024 LICENSE (01) NY

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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