Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Blvd Dental PLLC

Organization General Practice Dentistry · NPI 1982729091

Grant Blvd Dental PLLC is a General Practice Dentistry in Syracuse, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 Grant Blvd
Syracuse, NY 13208
Phone: (315) 472-3414
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0443351 (NY)

Record details

NPI number1982729091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Kassab — Owner Dentist · (315) 472-3414
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address118 S Main St, Canastota, NY 13032-1234

Other providers in Syracuse