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GRASSE RIVER FAMILY DENTAL
NPI 1629664511
Clinic/Center - Dental in Canton, NY

Active since December 15, 2020
1956 OLD DEKALB RD, CANTON, NY 13617(315) 386-2960(315) 386-2960 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grasse River Family Dental NPPES

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

GRASSE RIVER FAMILY DENTAL (NPI 1629664511) is a healthcare organization registered as a dental in Canton, New York and active in the NPI registry since December 2020. The organization lists Keli R Hollis, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1629664511
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRASSE RIVER FAMILY DENTAL
Location Address1956 OLD DEKALB RDCanton, NY 13617-3134
Mailing Address1956 Old Dekalb RdCanton, NY 13617-3134 · (315) 386-2960 · Fax (315) 386-2960
Phone(315) 386-2960
Fax(315) 386-2960
Organization SubpartNo
Authorized OfficialKeli R HollisDentist/owner · (315) 386-2960
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1629664511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1956 OLD DEKALB RD, Canton, NY 13617
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Other Names 1

Doing Business AsGrasse River Family Dental

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.

CURT D ROSS DDS
Dentist
1956 OLD DEKALB RD
CANTON, NY 13617
St. Lawrence County (315) 386-2960
DR. KELI ROSE HOLLIS D.D.S.
Dentist (General Practice)
1956 OLD DEKALB RD
CANTON, NY 13617
St. Lawrence County (315) 386-2960

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 Grasse River Family Dental's NPI number?

The NPI number for Grasse River Family Dental is 1629664511. It was assigned to this organization in the NPPES registry on December 15, 2020.

Where is Grasse River Family Dental located?

Grasse River Family Dental is located at 1956 Old Dekalb Rd, Canton, NY 13617. The listed phone number is (315) 386-2960.

What is Grasse River Family Dental'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 Grasse River Family Dental was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.