DR. Roger Grannum, DDS is an oral and maxillofacial surgery dentist in Brooklyn, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Roger Grannum, DDS NPI is 1003993502. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
760 BROADWAY
ORAL SURGERY ROOM 2C320
BROOKLYN, NY
ZIP 11206
Phone: (718) 963-8000
Fax: (718) 599-4912
The NPI 1003993502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 11/1/2006 and was last updated on 1/6/2017.