Grant Academy Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRANT ACADEMY DENTAL LLC

Practice address

3330 Grant Ave Ste 66
Philadelphia, PA 19114-2614

Phone

(215) 464-6060

Fax

(215) 969-2150

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

Alon Bekerman, DMDNPI 1063064244

Title

Dentist/Owner

Phone

(407) 463-0565

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.

• Alon Bekerman

  • General Practice Dentistry
  • Abington, PA
  • NPI 1063064244
  NPD (past) Authorized official

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1316716947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 GRANT AVE STE 66",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142614",
            "telephone_number": "215-464-6060",
            "fax_number": "215-969-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 GRANT AVE STE 66",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142614",
            "telephone_number": "215-464-6060",
            "fax_number": "215-969-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT ACADEMY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BEKERMAN",
        "authorized_official_first_name": "ALON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "407-463-0565",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Granger
• Veronica Grankina, MA
• Larisa Granovsky, DC
• Eric Granquist, DMD
• Caroline Blake Granruth, MD
• Grant Surgicenter LLC
• Corrine N Grant
• Eleonore Grant, MD
• Karen Grant, LSW
• Kinzya Bernice Grant, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.