Grody, David Stephan

Grody, David Stephan is an sole proprietor health care provider with primary practice located at 2689 North Belfast Avenue , Augusta ME 04330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grody, David Stephan can be contacted via phone (207) 622-0450.

Contact Information

Primary practice address
2689 North Belfast Avenue Augusta ME 04330
Phone: (207) 622-0450
Fax: (207) 622-6387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3379 Maine

Profile Details

NPI number 1720273600
LBN Legal business name Grody, David Stephan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Sep 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers