DR. JACK GRODNER DDS
NPI 1932115011
Dentist - General Practice in Springfield, OH

Active since July 31, 2006
413 E HOME RD, SPRINGFIELD, OH 45503(937) 390-3077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jack Grodner Dds NPPES

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

DR. JACK GRODNER DDS (NPI 1932115011) is an individual general practice provider in Springfield, Ohio, licensed in Ohio (15077) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1932115011
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK GRODNERCredential: DDS
Location Address413 E HOME RDSpringfield, OH 45503-2708
Mailing Address413 E Home RdSpringfield, OH 45503-2708 · (937) 390-3077
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1932115011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 15077
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

413 E HOME RD, Springfield, OH 45503

Other Identifiers 3

Other107461OH · Doral Locator Number
Other310916628026OH · Caresource-medicaid
Medicaid0341446OH

Accepted Insurance

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.

Clinic/Center (Community Health)
413 E HOME RD
SPRINGFIELD, OH 45503
Community/Behavioral Health
413 E HOME RD
SPRINGFIELD, OH 45503

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 Jack Grodner's NPI number?

The NPI number for Jack Grodner is 1932115011. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Jack Grodner located?

Jack Grodner practices at 413 E Home Rd, Springfield, OH 45503. The listed phone number is (937) 390-3077.

What is Jack Grodner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Grodner accept?

Health plans from Guardian list Jack Grodner 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 Jack Grodner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.