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

Eric Granquist, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1922291335

Eric Granquist, DMD is a Maxillofacial Surgery in Philadelphia, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Novacare Outpatient Rehabilitation East, Inc, a 510-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3400 Spruce St 5th Fl White Bld
Philadelphia, PA 19104-4206
Phone: (215) 662-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence MD439011 (PA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DS036793 (PA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence DS036793 (PA)

Record details

NPI number1922291335
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 20, 2007
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Novacare Outpatient Rehabilitation East, Inc. — 510 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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