DR. THOMAS GRANDVILLE D.D.S.
NPI 1487949236
Dentist - Pediatric Dentistry in Port Jefferson Station, NY

Active since June 09, 2011
8 MEDICAL DR, PORT JEFFERSON STATION, NY 11776(631) 928-8585 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Grandville D.d.s. NPPES

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

DR. THOMAS GRANDVILLE D.D.S. (NPI 1487949236) is an individual pediatric dentistry provider in Port Jefferson Station, New York, licensed in New York (056816) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1487949236
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. THOMAS GRANDVILLECredential: D.D.S.
Location Address8 MEDICAL DRPort Jefferson Station, NY 11776-1601
Mailing Address8 Medical DrPort Jefferson Station, NY 11776-1601 · (631) 928-8585
Sole ProprietorNo
Enumeration DateJune 9, 2011
Last NPPES UpdateApril 19, 2017
NPI 1487949236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 056816
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

8 MEDICAL DR, Port Jefferson Station, NY 11776

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Dentist (Pediatric Dentistry)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Dentist (Pediatric Dentistry)
8 MEDICAL DR
PT JEFFERSON STN, NY 11776
Dentist (Pediatric Dentistry)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Dentist (Pediatric Dentistry)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Dentist (Orthodontics and Dentofacial Orthopedics)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776

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 Thomas Grandville's NPI number?

The NPI number for Thomas Grandville is 1487949236. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Thomas Grandville located?

Thomas Grandville practices at 8 Medical Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-8585.

What is Thomas Grandville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Thomas Grandville accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Thomas Grandville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Grandville was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.