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

Integrated Dermatology of Granville, LLC

Organization Dermatology Physician · NPI 1609204908

Integrated Dermatology of Granville, LLC is a Dermatology Physician in Granville, Ohio. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1959 Newark Granville Rd
Granville, OH 43023-9171
Phone: (740) 587-0778
Fax: (740) 587-0601
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1609204908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Owner · (561) 314-2000
NPI enumeratedOctober 23, 2013
Last updated in NPPESJanuary 18, 2019
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

Other providers in Granville