1500 GRANT BLVD DENTISTRY, PLLC
NPI 1497263685
Clinic/Center - Dental in Syracuse, NY

Active since January 22, 2018
1500 GRANT BLVD, SYRACUSE, NY 13208(315) 472-3414(315) 472-4320 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 1500 Grant Blvd Dentistry, Pllc NPPES

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

1500 GRANT BLVD DENTISTRY, PLLC (NPI 1497263685) is a healthcare organization registered as a dental in Syracuse, New York and active in the NPI registry since January 2018. The organization lists Arun Balakumar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497263685
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name1500 GRANT BLVD DENTISTRY, PLLC
Location Address1500 GRANT BLVDSyracuse, NY 13208-3014
Mailing Address1500 Grant BlvdSyracuse, NY 13208-3014 · (315) 472-3414 · Fax (315) 472-4320
Fax(315) 472-4320
Organization SubpartNo
Authorized OfficialArun BalakumarCeo · (315) 472-3414
Enumeration DateJanuary 22, 2018
NPI 1497263685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NY · 051141
1500 GRANT BLVD, Syracuse, NY 13208

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1500 GRANT BLVD
SYRACUSE, NY 13208
Dentist (General Practice)
1500 GRANT BLVD
SYRACUSE, NY 13208

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 1500 Grant Blvd Dentistry, PLLC's NPI number?

The NPI number for 1500 Grant Blvd Dentistry, PLLC is 1497263685. It was assigned to this organization in the NPPES registry on January 22, 2018.

Where is 1500 Grant Blvd Dentistry, PLLC located?

1500 Grant Blvd Dentistry, PLLC is located at 1500 Grant Blvd, Syracuse, NY 13208. The listed phone number is (315) 472-3414.

What is 1500 Grant Blvd Dentistry, 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 1500 Grant Blvd Dentistry, PLLC was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.