Grittners Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRITTNERS DENTAL PLLC

Practice address

670 Cleveland Ave S Ste 100
Saint Paul, MN 55116-1218

Phone

(612) 483-6144

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jadilyn Nguyen Grittner, DDSNPI 1124332440

Title

Owner Dentist

Phone

(612) 483-6144

Specialties & licenses 1

Addresses

Other names 1

• Highgrove Dental Care Doing business as

Locations

Practitioners 1

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

• Jadilyn Nguyen Grittner, DDS

  • General Practice Dentistry
  • Cass Lake, MN
  • NPI 1124332440
  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1396332425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 BREDA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082607",
            "telephone_number": "612-483-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CLEVELAND AVE S STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161218",
            "telephone_number": "612-483-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRITTNERS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "GRITTNER",
        "authorized_official_first_name": "JADILYN",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "612-483-6144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highgrove Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanna Elisabet Grinaker, MS, RD
• James Grinols, MD
• Daria Alekseyevna Grishina, DDS
• Ashlynn K Grisim
• John R Grittner
• David Alan Griver, MD
• Justin Groenewold, M.D.
• Gail Johanna Grogan Pedersen, LICSW
• Mary Patricia Grom, D.C.
• Joe Groninga, PSYD

• Dental Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dental Clinic/Center in Minnesota

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