Roger Grannum Dds, P.c. is a Oral and Maxillofacial Dental Clinic in Brooklyn, New York. It is located at 730 Broadway, Brooklyn, NY and its contact number is 917-816-0481. The authorized person for Roger Grannum Dds, P.c. is Dr. Roger Grannum
who is Chief Executive Officer of the clinic and their contact number is 917-816-0481. Other organizations associated with this clinic are Roger Grannum Dds, P.c., Dr. Hecht & Wettan, The primary license number for Roger Grannum Dds, P.c. is 052633 (Oral and Maxillofacial Surgery) in New York.
Roger Grannum Dds, P.c. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Roger Grannum Dds, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Roger Grannum Dds, P.c. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 730 Broadway, Brooklyn,
New York, 11206-4403 |
| Phone: | 917-816-0481 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Roger Grannum |
| Position: | Chief Executive Officer |
| Contact Number: | 917-816-0481 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Roger Grannum Dds, P.c. clinic are as mentioned below.
| NPI Number: | 1568600757 |
| NPI Enumeration Date: | 27 Jan, 2009 |
| NPI Last Update On: | 29 Sep, 2011 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Roger Grannum Dds, P.c. | Oral and Maxillofacial Surgery | 1568600757 |
| Dr. Hecht & Wettan | Oral and Maxillofacial Surgery | 1982870879 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roger Grannum Dds, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 052633 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 03084764 | Medicaid | New York | |
| 0334491 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Roger Grannum Dds, P.c.
131 Knollwood Dr,
Watchung, New Jersey |
| Zip: | 07069-6245 |
| Phone Number: | 917-816-0481 |
Patients can reach Roger Grannum Dds, P.c. at
730 Broadway, Brooklyn, New York or can
call to book an appointment on 917-816-0481.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.