Dr. Jack Grodner is a Springfield, Ohio based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack Grodner is 15077 for General Practice Dentistry in Ohio. His current practice location is 413 E Home Rd, Springfield. Patients can reach him at 937-390-3077.
Dr. Jack Grodner is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jack Grodner 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:
Dr. Jack Grodner
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
413 E Home Rd, Springfield, Ohio, 45503-2708
Phone:
937-390-3077
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:
1932115011
NPI Enumeration Date:
31 Jul, 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 Dr. Jack Grodner are as mentioned below.
License Number
Specialization
State
Status
15077
General Practice Dentistry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jack Grodner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
107461
Other
Ohio
DORAL LOCATOR NUMBER
310916628026
Other
Ohio
CARESOURCE-MEDICAID
0341446
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
413 E Home Rd, Springfield, Ohio
Zip:
45503-2708
Phone Number:
937-390-3077
Patients can reach Dr. Jack Grodner at 413 E Home Rd, Springfield, Ohio or can call to book an appointment on 937-390-3077. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.