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Dr. Brittany Granoski, DMD, FRCD(C)

Dentist, Pediatric Dentistry in Plymouth, MN. Individual provider (NPI-1).

NPI number1992358337
StatusActive
Last updated in NPPESOct 13, 2021

Details

NPI
1992358337
Entity type
Individual (NPI-1)
Name
Dr. Brittany Granoski
Credential
DMD, FRCD(C)
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2019
Certification date
Oct 13, 2021
Last updated
Oct 13, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric DentistryD14621MNYes

Practice location

2805 Campus Dr Ste 245
Plymouth, MN 55441-2678

Phone 763-383-1788

Mailing address

2805 Campus Dr Ste 245
Plymouth, MN 55441-2678

Phone 763-383-1788

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 Pediatric Dentistry providers in Plymouth, MN

All 5 Pediatric Dentistry providers in Plymouth · All 1,953 providers in Plymouth

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