Healthcare Provider Details

I. General information

NPI: 1316396518
Provider Name (Legal Business Name): GRAND DENTAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 06/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 N FARNSWORTH AVE
AURORA IL
60505-1576
US

IV. Provider business mailing address

1780 N FARNSWORTH AVE
AURORA IL
60505-1576
US

V. Phone/Fax

Practice location:
  • Phone: 630-898-3610
  • Fax: 630-898-6362
Mailing address:
  • Phone: 630-585-9333
  • Fax: 630-585-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVE NAPIER
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 630-585-9333