Charles Frederick Grannum is a Brooklyn, New York based Prosthodontics who is specialized in
Prosthetic Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Charles Frederick Grannum is
040024 for Prosthetic Dentistry in New York. His current practice location is
1536 Bedford Ave, Brooklyn. Patients can reach him at
800-376-5566.
Charles Frederick Grannum specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Profile:
Charles Frederick Grannum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Charles Frederick Grannum |
| Specialization: | Prosthodontics |
| Gender: | Male |
| Credentials: | MD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1536 Bedford Ave, Brooklyn,
New York, 11216-4117 |
| Phone: | 800-376-5566 |
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 are as mentioned below.
| NPI Number: | 1205904208 |
| NPI Enumeration Date: | 30 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Frederick Grannum are as mentioned below.
| License Number | Specialization | State | Status | |
| 040024 | Prosthetic Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Frederick Grannum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 040024 | Other | New York | LICENSE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 29889,
New York, New York |
| Zip: | 10087-9889 |
| Phone Number: | 800-376-5566 |
Patients can reach Charles Frederick Grannum at
1536 Bedford Ave, Brooklyn, New York or can
call to book an appointment on 800-376-5566.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.