GRASSI DDS PC – NPI #1457094773
Clinic/Center

GRASSI DDS PC is an AHC clinic located in FAYETTEVILLE, NY. NPPES has assigned the NPI number 1457094773 to GRASSI DDS PC on April 14, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 2 years ago on Apr 30, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRASSI DDS PC below.

NPI Profile for
GRASSI DDS PC

NPI Number
1457094773
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRASSI DDS PC
Primary location
6789 E GENESEE ST # 1B
FAYETTEVILLE, NY 13066-1640
Phone: (315) 729-6206 Fax:
Mailing address
1103 SIDNEY ST
SYRACUSE, NY 13219-1719
Phone: (315) 729-6206 Fax:
Organization Subpart
No
Authorized Official
NICOLE GRASSI
OWNER
Phone: (315) 729-6206
Updated
Certification Date
Nov 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.