L. Patrick Grisanti II, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21801 Issued in TX

Legal business name

L. PATRICK GRISANTI II, DDS, PA

Practice address

2504 Ridge Rd
Suite 204
Rockwall, TX 75087-2569

Phone

(972) 772-9505

Fax

(972) 722-7506

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leonello Patrick Grisanti II, DDS

Title

Owner

Phone

(972) 772-9505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonello Patrick Grisanti II, D.D.S.

  • General Practice Dentistry
  • Rockwall, TX
  • NPI 1437285905
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063621639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 204",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-772-9505",
            "fax_number": "972-722-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 204",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-772-9505",
            "fax_number": "972-722-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. PATRICK GRISANTI II, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRISANTI II",
        "authorized_official_first_name": "LEONELLO",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-772-9505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamela Kuhnell, MSN, APRN, NNP-BC
• Wendee Ellen Kukuwich, MA, MS, LPC
• Blessy Anu Kuncheria
• Kurt L Pflieger MD PA
• Britany Leah Kushner, MS
• Richard Alfred Labelle, PA-C
• Kheri Dashai Laday, PT, DPT
• Laent, PA
• Mary Grace Lagasca
• Alexander Laigo

• General Practice Dentistry in Rockwall, TX
• Providers in Rockwall, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.