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

Krystle Grandberry DMD PLLC

Organization Dental Clinic/Center · NPI 1255190955

Krystle Grandberry DMD PLLC is a Dental Clinic/Center in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2835 N Sheffield Ave Ste 305
Chicago, IL 60657-5084
Phone: (810) 265-3237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1255190955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krystle Widen — President, Owner · (810) 265-3237
NPI enumeratedMarch 15, 2024
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address2307 W Melrose St Unit F, Chicago, IL 60618-6317

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