Robert a Grollman DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN007173 Issued in GA

Legal business name

ROBERT A GROLLMAN DDS PC

Practice address

160 North Main St
Alpharetta, GA 30004-1623

Phone

(770) 475-3432

Fax

(770) 475-4019

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Allan Grollman, DDS

Title

Pres Owner

Phone

(770) 475-3432

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831280098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NORTH MAIN ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041623",
            "telephone_number": "770-475-3432",
            "fax_number": "770-475-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NORTH MAIN ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041623",
            "telephone_number": "770-475-3432",
            "fax_number": "770-475-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A GROLLMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROLLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "770-475-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN007173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Dentist in Georgia

• 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.