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

Dr. Roger Grannum, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1003993502

Dr. Roger Grannum, DDS is an Oral and Maxillofacial Surgery (Dentist) in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

760 Broadway Oral Surgery Rm 2C320
Brooklyn, NY 11206
Phone: (718) 963-8000
Fax: (718) 599-4912
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 50052633 (NY)

Record details

NPI number1003993502
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJanuary 6, 2017
Mailing address760 Broadway, Oral Surgery Room 2c230, Brooklyn, NY 11206

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