OrganizationActive
Grant Blvd Dental PLLC
NPI 1982729091 · General Practice Dentistry · Syracuse, NY
Grant Blvd Dental PLLC is a General Practice Dentistry organization in Syracuse, NY (NPI 1982729091).
Provider details
- NPI number
- 1982729091
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Juan Kassab, Owner Dentist(315) 472-3414
- License
- 0443351 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1500 Grant Blvd
Syracuse, NY 13208
Phone: (315) 472-3414
Street-level locationGet directions
Mailing address
118 S Main St
Canastota, NY 13032-1234
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Grant Blvd Dental PLLC's NPI number?
- Grant Blvd Dental PLLC's National Provider Identifier (NPI) is 1982729091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grant Blvd Dental PLLC?
- Grant Blvd Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Grant Blvd Dental PLLC located?
- Grant Blvd Dental PLLC's practice location on file with NPPES is 1500 Grant Blvd, Syracuse, NY 13208.
- What is Grant Blvd Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grant Blvd Dental PLLC is (315) 472-3414.
- Who is the authorized official for Grant Blvd Dental PLLC?
- The authorized official listed on Grant Blvd Dental PLLC's NPPES record is Juan Kassab, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grant Blvd Dental PLLC's NPI active?
- Yes — Grant Blvd Dental PLLC's NPI (1982729091) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.