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KRYSTLE GRANDBERRY DMD PLLC
NPI 1255190955
Clinic/Center - Dental in Chicago, IL

Active since March 15, 2024
2835 N SHEFFIELD AVE STE 305, CHICAGO, IL 60657(810) 265-3237 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krystle Grandberry Dmd Pllc NPPES

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

KRYSTLE GRANDBERRY DMD PLLC (NPI 1255190955) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since March 2024. The organization lists Krystle Grandberry Widen, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1255190955
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKRYSTLE GRANDBERRY DMD PLLC
Location Address2835 N SHEFFIELD AVE STE 305Chicago, IL 60657-5084
Mailing Address2307 W Melrose St Unit FChicago, IL 60618-6317
Phone(810) 265-3237
Organization SubpartNo
Authorized OfficialKrystle Grandberry WidenPresident, Owner · (810) 265-3237
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1255190955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2835 N SHEFFIELD AVE STE 305, Chicago, IL 60657
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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 Krystle Grandberry Dmd PLLC's NPI number?

The NPI number for Krystle Grandberry Dmd PLLC is 1255190955. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is Krystle Grandberry Dmd PLLC located?

Krystle Grandberry Dmd PLLC is located at 2835 N Sheffield Ave Ste 305, Chicago, IL 60657. The listed phone number is (810) 265-3237.

What is Krystle Grandberry Dmd PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Krystle Grandberry Dmd PLLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.