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CHARLES FREDERICK GRANNUM MD
NPI 1205904208
Dentist - Prosthodontics in Brooklyn, NY

Active since November 30, 2006
1536 BEDFORD AVE, BROOKLYN, NY 11216(800) 376-5566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Frederick Grannum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES FREDERICK GRANNUM MD (NPI 1205904208) is an individual prosthodontics provider in Brooklyn, New York, licensed in New York (040024) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205904208
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameCHARLES FREDERICK GRANNUMCredential: MD
Location Address1536 BEDFORD AVEBrooklyn, NY 11216-4117
Mailing AddressPo Box 29889New York, NY 10087-9889 · (800) 376-5566
Phone(800) 376-5566
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205904208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NY · 040024
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1536 BEDFORD AVE, Brooklyn, NY 11216
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Other Identifiers 1

Other040024NY · License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIRJETA SPIROLLARI D.D.S.
Dentist
1536 BEDFORD AVE
BROOKLYN, NY 11216
Kings County (718) 613-7375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Grannum's NPI number?

The NPI number for Charles Grannum is 1205904208. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Charles Grannum located?

Charles Grannum practices at 1536 Bedford Ave, Brooklyn, NY 11216. The listed phone number is (800) 376-5566.

What is Charles Grannum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Charles Grannum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.