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

Grasse River Family Dental

Organization Dental Clinic/Center · NPI 1629664511

Grasse River Family Dental is a Dental Clinic/Center in Canton, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1956 Old Dekalb Rd
Canton, NY 13617-3134
Phone: (315) 386-2960
Fax: (315) 386-2960
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1629664511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keli Hollis — Dentist/Owner · (315) 386-2960
Other names Grasse River Family Dental
NPI enumeratedDecember 15, 2020
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address1956 Old Dekalb Rd, Canton, NY 13617-3134