BONIFACE GRANDILLO (NPI# 1073697876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073697876 |
| Entity Type | Individual |
| Full Name | BONIFACE GRANDILLO |
| Credential | DDS |
| Practice Address |
1390 Pennsylvania Avenue Brooklyn NY 11239 |
| Practice Telephone | 7186428600 |
| Practice Fax Number | 7189421425 |
| Mailing Telephone | 7186428600 |
| Mailing Fax Number | 7189421425 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 026958 | NY | Dental Providers |
| Street Address |
1390 PENNSYLVANIA AVENUE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053402370 | Nabil Raoof | Pediatrics | 1390 Pennsylvania Avenue, Brooklyn, NY 11239 | 2006-09-28 |
| 1508194028 | Arthur H. Gerber, Md, PC | Ophthalmology | 1390 Pennsylvania Avenue, Suite G, Brooklyn, NY 11239-2103 | 2009-11-20 |
| 1336211564 | Melvyn Chester Strupinsky | Dentist | 1390 Pennsylvania Avenue, Brooklyn, NY 11239 | 2006-11-14 |
| 1912083148 | Brian K Levy | Podiatrist | 1390 Pennsylvania Avenue, Brooklyn, NY 11239 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486259 | Nicole Shari Clarke | Registered Nurse | 185 Arzly Loop, Brooklyn, NY 11239 | 2020-04-23 |
| 1760922348 | Justin Hinds | Licensed Practical Nurse | 1280 Croton Loop Apt. 5g, Brooklyn, NY 11239 | 2017-03-02 |
| 1003293119 | Nichole Atterbury | Licensed Practical Nurse | 200 Bethel Loop Apt11c, Brooklyn, NY 11239 | 2015-04-28 |
| 1770836983 | Micheline Mesidor | Early Intervention Provider Agency | 1201 Pennsylvania Avenue 15 H, Brooklyn, NY 11239 | 2012-10-25 |
| 1336498427 | Samuel Omotoye | Registered Nurse | 1425 Pennsylvanie Avenue, Apt. 16f, Brooklyn, NY 11239 | 2012-09-05 |
| 1659681179 | Leonida Sentillas Griffith | Occupational Therapy Assistant | 1155 Pennsylvania Avenue, Apartment 16d, Brooklyn, NY 11239 | 2010-10-18 |
| 1578887717 | Gail Marie Swayne | Speech-Language Pathologist | 562 Lousiana Avenue, Brooklyn, NY 11239 | 2010-03-17 |
| 1376626994 | Priscila Siagan Zabala | Internal Medicine | 614 Louisiana Ave, Suite I, Brooklyn, NY 11239 | 2006-10-24 |
| 1306892070 | Willoughby Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 660 Louisiana Avenue, Brooklyn, NY 11239 | 2006-05-25 |
| 1346781978 | Tonisha Thompson | Pharmacist | 1184 Elton St, Brooklyn, NY 11239 | 2017-03-15 |
| Find all providers in zip 11239 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454475 | Mighty Smiles LLC | Dentist | 837 59th St Fl 3, Brooklyn, NY 11220-3611 | 2020-07-15 |
| 1073131967 | Oraleye, Inc. | Dentist | 300 Cadman Plz W Fl 121, Brooklyn, NY 11201-3229 | 2020-07-08 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1215562491 | Magnon Reyes Dds Pllc | Dentist | 2004 Mermaid Ave, Brooklyn, NY 11224-2595 | 2020-03-08 |
| 1093348088 | Natalia Maglevannaya | Dentist | 1719 Sheepshead Bay Rd, Brooklyn, NY 11235-3606 | 2020-02-18 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1093374548 | David Zhukovsky | Dentist | 1812 Quentin Rd Ste M1, Brooklyn, NY 11229-1336 | 2019-06-09 |
| 1295390706 | Leon Tuberman | Dentist | 464 Neptune Ave Apt 12g, Brooklyn, NY 11224-4306 | 2019-05-09 |
| 1740752732 | Mark Paul Quinn I | Dentist | 1314 E 70th St, Brooklyn, NY 11234-5704 | 2019-01-02 |
| 1083109375 | Zenab Khan | Dentist | 262 56th St Unit 3, Brooklyn, NY 11220-2615 | 2018-06-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.