Andre G Grenier, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN16730 Issued in FL

Practice address

8200 W Sunrise Blvd
Suite B1
Plantation, FL 33322-5426

Phone

(954) 473-1806

Fax

(954) 424-6666

NPI assigned

Sep 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1295929040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD",
            "address_2": "SUITE B1",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225426",
            "telephone_number": "954-473-1806",
            "fax_number": "954-424-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD",
            "address_2": "SUITE B1",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225426",
            "telephone_number": "954-473-1806",
            "fax_number": "954-424-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENIER",
        "first_name": "ANDRE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Greene, M.S. CCC-SLP
• Richard Stephen Greene, MD
• Haley Greenway
• Gregory Lee Greer, D.C.
• Jeffrey Dean Greiff, M.D.
• Mark Steven Grenitz, M.D.
• Rodney Lee Gress, RPH
• Tripat Simran Kaur Grewal, PT
• Samantha Grey
• Todd Griffin, PA-C

• Periodontics in Plantation, FL
• Providers in Plantation, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.