Jack Grodner is a General Practice in Springfield, Ohio. Jack Grodner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Grodner is 1932115011. The last update date is 2007-07-08.
Jack Grodner's current location address is 413 E Home Rd, Springfield, Ohio. You can contact this provider via phone number 9373903077. The mailing address for Jack Grodner is 413 E Home Rd, Springfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Grodner |
|---|---|
| Address | 413 E Home Rd, Springfield, Ohio |
| Phone Number | 9373903077 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1932115011 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 413 E Home Rd |
|---|---|
| City | Springfield |
| State | Ohio (OH) |
| Post Code | 455032708 |
| Phone Number | 9373903077 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15077 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107461 | OH | DORAL LOCATOR NUMBER | |
| 310916628026 | OH | CARESOURCE-MEDICAID | |
| 341446 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Grodner by the Centers for Medicare & Medicaid Services?
The Jack Grodner has been assigned the NPI (National Provider Identifier) 1932115011 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jack Grodner's physical address?
The Jack Grodner is physically located at 413 E Home Rd, in the city of Springfield, OH, with the postal code 455032708.
What is Jack Grodner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Grodner's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Jack Grodner's 1932115011 issued?
The Jack Grodner's 1932115011 was issued on 2006-07-31.
When was the information regarding Jack Grodner most recently updated?
The details pertaining to the Jack Grodner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.