Luis Gregorio Granados Paucar, DDS is a general practice dentist in Addison, IL. The provider is 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. Luis Gregorio Granados Paucar, DDS NPI is 1063948222. 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:
200 W LAKE ST
ADDISON, IL
ZIP 60101-513
Phone: (630) 628-3115
The NPI 1063948222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/10/2017 and was last updated on 8/27/2019.