IndividualActive
Eric Granquist, DMD
NPI 1922291335 · Oral & Maxillofacial Surgery (D.M.D.) · Philadelphia, PA
Provider details
- NPI number
- 1922291335
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS036793 (PA)
Practice location
3400 Spruce St
5th Floor White Bld
Philadelphia, PA 19104-4206
Phone: (215) 662-3580
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4206
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2023-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.