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

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