Federico Grande DDS, MD, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FEDERICO GRANDE DDS, MD, PA

Doing business as

Grande Oral Specialties

Practice address

650 SE Indian St Ste 2
Stuart, FL 34997-5565

Phone

(772) 510-5900

NPI assigned

Sep 27, 2022

Organization subpart

Yes

Parent organization

FEDERICO GRANDE DDS, MD, PAAs reported in NPPES

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

Authorized official

Name

Dr. Federico GrandeNPI 1396852257

Title

Owner

Phone

(772) 510-5900

Specialties & licenses 1

Addresses

Other names 1

• Grande Oral Specialties Doing business as

Electronic endpoints 1

Part of

Federico Grande DDS MD PA

Locations

Practitioners 1

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

• Federico Grande, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Stuart, FL
  • NPI 1396852257
  NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1366166076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-510-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-510-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERICO GRANDE DDS, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEDERICO GRANDE DDS, MD, PA",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "GRANDE",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-510-5900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicoleg@grandeoralspecialties.com",
            "affiliation": "N",
            "address_1": "650 SE Indian St Ste 2",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349975565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grande Oral Specialties",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grande Oral Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Alexandra Fayad Briceno
• Clarissa Irene Fazio
• Zuzanna Fedak
• Tara S Feddon
• Mark William Fedele, DMD
• Stacy Feiertag, PTA
• Glenn Allen Feigen, L.P.N.
• Scott Eric Feigenbaum, DMD, MD
• Michael Vincent Feist, DPT
• Elizabeth Nicole Feldman, D.O

• Oral and Maxillofacial Surgery (Dentist) in Stuart, FL
• Providers in Stuart, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.