Provider Demographics
NPI:1336545607
Name:GRANITE DENTAL GROUP OF BARRINGTON PLLC
Entity type:Organization
Organization Name:GRANITE DENTAL GROUP OF BARRINGTON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIETER
Authorized Official - Middle Name:H
Authorized Official - Last Name:KNAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-664-7850
Mailing Address - Street 1:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-0710
Mailing Address - Country:US
Mailing Address - Phone:603-664-7850
Mailing Address - Fax:603-664-7851
Practice Address - Street 1:8 CENTURY PINES DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-3732
Practice Address - Country:US
Practice Address - Phone:603-664-7850
Practice Address - Fax:603-664-7851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty