Dr. Thomas Grandville is a Port Jefferson Station, New York based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Thomas Grandville is
056816 for Pediatric Dentistry in New York. His current practice location is
8 Medical Dr, Port Jefferson Station. Patients can reach him at
631-928-8585.
Dr. Thomas Grandville provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Thomas Grandville 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. Thomas Grandville |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 8 Medical Dr, Port Jefferson Station,
New York, 11776-1601 |
| Phone: | 631-928-8585 |
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: | 1487949236 |
| NPI Enumeration Date: | 09 Jun, 2011 |
| NPI Last Update On: | 19 Apr, 2017 |
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. Thomas Grandville are as mentioned below.
| License Number | Specialization | State | Status | |
| 056816 | Pediatric Dentistry | New York | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8 Medical Dr,
Port Jefferson Station, New York |
| Zip: | 11776-1601 |
| Phone Number: | 631-928-8585 |
Patients can reach Dr. Thomas Grandville at
8 Medical Dr, Port Jefferson Station, New York or can
call to book an appointment on 631-928-8585.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.