MEDICARE: DR. RYAN GRANDPRE D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	53793	CA

General Provider Information

NPI Number	:	1700858743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN GRANDPRE D.D.S.

Provider Business Mailing Address
First Line	:	105 SIERRA MESA PL
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-4060
Country	:	US
Telephone Number	:	530-828-4380
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 WHITCOMB AVE
Second Line	:
City	:	COLFAX
State	:	CA
Zip	:	95713
Country	:	US
Telephone Number	:	530-346-6244
Fax Number	:	530-346-6001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	05/01/2009

Similar Medicare Providers

1588652507 — DR. JOHN WARREN DEMOREST DDS
Practice Location Address:

33 E GRASS VALLEY ST
COLFAX, CA
95713-1659

Practice Phone: 530-346-2214
Practice Fax:

1396779930 — DR. KURTIS H FOX M.D.
Practice Location Address:

101 W. GRASS VALLEY ST
COLFAX, CA
95713

Practice Phone: 530-346-2281
Practice Fax: 530-346-8786

1457374019 — DR. RUSSELL STABLER WORRALL O.D.
Practice Location Address:

333 S AUBURN ST , SUITE 1
COLFAX, CA
95713-9778

Practice Phone: 530-346-2269
Practice Fax: 530-346-2593

1669588091 — DR. PAULA SUZANNE DWELLY PH.D, MFCC
Practice Location Address:

21520 CANYON WAY
COLFAX, CA
95713

Practice Phone: 530-637-4116
Practice Fax:

1477696961 — MS. CHRISTINE MARIE TAYLOR-BROWN M.F.T.
Practice Location Address:

333 S AUBURN ST STE 11
COLFAX, CA
95713-9777

Practice Phone: 530-346-6366
Practice Fax: 530-346-6899

1588782593 — GAVIN O'SULLIVAN
Practice Location Address:

840 OLD GRASS VALLEY RD
COLFAX, CA
95713-9407

Practice Phone: 530-217-3575
Practice Fax:

Directions to “ DR. RYAN GRANDPRE D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.