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GRANT BLVD DENTAL PLLC
NPI 1982729091
Dentist - General Practice in Syracuse, NY

Active since March 20, 2007
1500 GRANT BLVD, SYRACUSE, NY 13208(315) 472-3414 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grant Blvd Dental Pllc NPPES

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

GRANT BLVD DENTAL PLLC (NPI 1982729091) is a healthcare organization registered as a general practice in Syracuse, New York and active in the NPI registry since March 2007. The organization lists Juan C Kassab, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1982729091
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRANT BLVD DENTAL PLLC
Location Address1500 GRANT BLVDSyracuse, NY 13208
Mailing Address118 S Main StCanastota, NY 13032-1234 · (315) 697-9287
Phone(315) 472-3414
Organization SubpartNo
Authorized OfficialJuan C KassabOwner Dentist · (315) 472-3414
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982729091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 0443351
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.
1500 GRANT BLVD, Syracuse, NY 13208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. ARUN BALAKUMAR DDS
Dentist (General Practice)
1500 GRANT BLVD
SYRACUSE, NY 13208
Onondaga County (315) 472-3414
1500 GRANT BLVD DENTISTRY, PLLC
Clinic/Center (Dental)
1500 GRANT BLVD
SYRACUSE, NY 13208
Onondaga County (315) 472-3414

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 Grant Blvd Dental PLLC's NPI number?

The NPI number for Grant Blvd Dental PLLC is 1982729091. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Grant Blvd Dental PLLC located?

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

What is Grant Blvd Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grant Blvd Dental PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.