DR. BRENDA CAROL GRANDSTAFF (NPI# 1598818064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598818064 |
| Entity Type | Individual |
| Full Name | DR. BRENDA CAROL GRANDSTAFF |
| Credential | D D S |
| Practice Address |
100 Tippett Ct Suite 103 Sunbury OH 43074-8572 |
| Practice Telephone | 7409654090 |
| Mailing Telephone | 7409654090 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20676 | OH | Dental Providers |
| Street Address |
100 TIPPETT CT SUITE 103 |
| City | SUNBURY |
| State | OH |
| Zip Code | 43074-8572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114968344 | Marjorie A. Vogt | Nurse Practitioner | 100 Tippett Ct, Suite 101, Sunbury, OH 43015-1047 | 2006-06-09 |
| 1437357993 | David C Anthony | Dentist | 100 Tippett Ct, Suite 103, Sunbury, OH 43074-8572 | 2007-07-06 |
| 1023161502 | Yvonne Rosado | Dentist | 100 Tippett Ct, Suite 103, Sunbury, OH 43074-8572 | 2007-01-19 |
| 1730279266 | Michael S Anthony | Dentist | 100 Tippett Ct, Suite 103, Sunbury, OH 43074-8572 | 2006-10-13 |
| 1285657098 | James G Wittig | Specialist | 100 Tippett Ct, Suite 101, Sunbury, OH 43074-8572 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225727 | Douglas Hudoba | Dentist | 169 Oh-3, Sunbury, OH 43074 | 2015-05-19 |
| 1104218718 | Justin O'grady | Registered Nurse | 59 Barleycorn Dr, Sunbury, OH 43074 | 2015-02-19 |
| 1285873919 | Jessica Ruth Thiessen Long | Family Medicine | 100 Tippett Ct., Suite 101, Sunbury, OH 43074 | 2009-02-19 |
| 1699928804 | The Kroger Co | Pharmacy | 131 State Route 3, Sunbury, OH 43074 | 2008-10-31 |
| 1083622930 | Central Ohio Skin & Cancer Inc | Dermatology | 100 Tippett Court, Sunbury, OH 43074 | 2006-08-04 |
| 1891709812 | Lora Lynn Weeks | Nurse Practitioner | 111 W Cherry St, Sunbury, OH 43074 | 2006-07-27 |
| 1679561377 | Thomas W Erndt | Chiropractor | 123 State Route 3, Suite A, Sunbury, OH 43074 | 2005-10-07 |
| 1194175240 | Hudoba Dental 1, Inc | Dentist | 169 Oh-3, Sunbury, OH 43074 | 2016-06-20 |
| 1700229184 | Crystal D Reis | Massage Therapist | 44 S Kintner Pkwy, Suite E, Sunbury, OH 43074 | 2013-04-16 |
| 1215155221 | Dean P. Backiewicz | Dentist | 450 S. Miller Dr., Suite 200, Sunbury, OH 43074-0539 | 2007-04-23 |
| Find all providers in zip 43074 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598904310 | Sunbury Point Dental, Laury J Dimichaelangelo, Dds, Inc | Dentist | 211 E Granville St, Sunbury, OH 43074-9791 | 2009-02-18 |
| 1215155221 | Dean P. Backiewicz | Dentist | 450 S. Miller Dr., Suite 200, Sunbury, OH 43074-0539 | 2007-04-23 |
| 1467592964 | David Gordon Simington | Dentist | 34 S 4th St, Sunbury, PA 17801-2731 | 2007-02-07 |
| 1700174927 | Catherine Elizabeth Fillmore | Dentist | 335 Market St, Sunbury, PA 17801-3411 | 2011-07-21 |
| 1023161502 | Yvonne Rosado | Dentist | 100 Tippett Ct, Suite 103, Sunbury, OH 43074-8572 | 2007-01-19 |
| 1730279266 | Michael S Anthony | Dentist | 100 Tippett Ct, Suite 103, Sunbury, OH 43074-8572 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281352 | United Dental Care Changwon Ahn Dmd | Dentist | 34950 Chardon Rd Ste 200, Willoughby Hills, OH 44094-9162 | 2020-10-06 |
| 1619584786 | Mark Paly | Dentist | 13193 Hampton Club Dr Apt 104, North Royalton, OH 44133-7413 | 2020-09-23 |
| 1881208874 | West Broad Dental Partners LLP | Dentist | 4089 W Broad St, Columbus, OH 43228-1614 | 2020-09-07 |
| 1740894450 | Sigmund G Gagni Dds LLC | Dentist | 1271 Crescent Heights Rd Ste 206, Marion, OH 43302-6455 | 2020-09-01 |
| 1184237984 | Jasmina Maric | Dentist | 6519 Greenoak Dr, Cincinnati, OH 45248-1413 | 2020-08-31 |
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1275144842 | Britni A Gray | Dentist | 6268 Mayfield Rd, Mayfield Heights, OH 44124-3219 | 2020-08-16 |
| 1679183701 | Ryba Dentistry LLC | Dentist | 3219 Detroit Ave Ste 102, Cleveland, OH 44113-2759 | 2020-08-04 |
| 1215546023 | Jennifer Yu | Dentist | 3421 Towne Blvd, Middletown, OH 45005-5507 | 2020-07-28 |
| 1326656034 | Ohio Dental Professionals, Delisle, P.C. | Dentist | 3425 Grant Ave Ste A, Grove City, OH 43123-2512 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
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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.