Eric Granquist, DMD
Oral & Maxillofacial Surgery in Philadelphia, PA. Individual provider (NPI-1).
NPI number1922291335
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1922291335
- Entity type
- Individual (NPI-1)
- Name
- Eric Granquist
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2007
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MAXILLOFACIAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | MD439011 | PA | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DS036793 | PA | |
| 204E00000X | Oral & Maxillofacial Surgery | DS036793 | PA |
Practice location
3400 Spruce St5th Floor White Bld
Philadelphia, PA 19104-4206
Phone 215-662-3580
Mailing address
3400 Spruce St5th Floor White Bld
Philadelphia, PA 19104-4206
Phone 215-662-3580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Oral & Maxillofacial Surgery (D.M.D.) providers in Philadelphia, PA
- A.L. Checchio & G.T. Dowd, Ltd.NPI 1831158419
- Lee R Carrasco, MD DDSNPI 1013946540
- Allen F. Champion, DDSNPI 1245215508
- Myung W Chang, DDSNPI 1356559876
- Mary Anne Checchio, DDSNPI 1689634602
- Children'S Surgical Associates LtdNPI 1730268079
- Robert J Diecidue, DMD, MDNPI 1225069818
- Gerard T. Dowd, DDSNPI 1598724288
- Brian P. Ford, D.M.D., M.D.NPI 1578799862
- James C Gates, D.M.D.NPI 1073898516
All 31 Oral & Maxillofacial Surgery (D.M.D.) providers in Philadelphia · All 53,595 providers in Philadelphia
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.