Steven M Groddy is a Dentist in Manitowoc, Wisconsin. Steven M Groddy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Steven M Groddy is 1699768853. The last update date is 2007-07-08.
Steven M Groddy's current location address is 1503 Randolph Ct, Manitowoc, Wisconsin. You can contact this provider via phone number 9206820321 and fax number 9206823128. The mailing address for Steven M Groddy is 1503 Randolph Ct, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven M Groddy |
|---|---|
| Address | 1503 Randolph Ct, Manitowoc, Wisconsin |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1699768853 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1503 Randolph Ct |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542208345 |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4077 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33712900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Steven M Groddy by the Centers for Medicare & Medicaid Services?
The Steven M Groddy has been assigned the NPI (National Provider Identifier) 1699768853. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Steven M Groddy is located?
The Steven M Groddy is situated at the following address: 1503 Randolph Ct, Manitowoc, WI, 542208345.
What is the Steven M Groddy's area of specialization and corresponding taxonomy classification?
The Steven M Groddy's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Steven M Groddy receive its 1699768853 assignment from the Centers for Medicare & Medicaid Services?
The Steven M Groddy was assigned its 1699768853 on 2005-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Steven M Groddy most recently updated?
The details pertaining to the Steven M Groddy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.