OrganizationActive
Grasse River Family Dental
NPI 1629664511 · Dental Clinic/Center · Canton, NY
Grasse River Family Dental is a Dental Clinic/Center organization in Canton, NY (NPI 1629664511).
Provider details
- NPI number
- 1629664511
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keli Hollis, Dentist/Owner(315) 386-2960
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1956 Old Dekalb Rd
Canton, NY 13617-3134
Phone: (315) 386-2960
Fax: (315) 386-2960
Street-level locationGet directions
Mailing address
1956 Old Dekalb Rd
Canton, NY 13617-3134
Other names (DBA / former)
- Doing business as
- Grasse River Family Dental
Registry dates
- Enumerated
- 2020-12-15
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Frequently asked questions
- What is Grasse River Family Dental's NPI number?
- Grasse River Family Dental's National Provider Identifier (NPI) is 1629664511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grasse River Family Dental?
- Grasse River Family Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grasse River Family Dental located?
- Grasse River Family Dental's practice location on file with NPPES is 1956 Old Dekalb Rd, Canton, NY 13617-3134.
- What is Grasse River Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Grasse River Family Dental is (315) 386-2960.
- Who is the authorized official for Grasse River Family Dental?
- The authorized official listed on Grasse River Family Dental's NPPES record is Keli Hollis, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grasse River Family Dental's NPI active?
- Yes — Grasse River Family Dental's NPI (1629664511) is active in the NPPES registry as of the last update on 2020-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.