NPI 1962796953 · live from the CMS NPI Registry
Ann Z Granicz, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Bloomington, IN. National Provider Identifier 1962796953, active.
NPI record
| NPI | 1962796953 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1320 W Bloomfield Rd Ste B, Bloomington, IN 47403 |
| Practice phone | 812-822-1196 |
| Enumerated | June 7, 2011 |
| Last updated | June 12, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12011893A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.