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

Charles Frederick Grannum, MD

Individual provider Prosthodontics · NPI 1205904208

Charles Frederick Grannum, MD is a Prosthodontics in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1536 Bedford Ave
Brooklyn, NY 11216-4117
Phone: (800) 376-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 040024 (NY)

Record details

NPI number1205904208
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 29889, New York, NY 10087-9889

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