National Provider Identifier
Peter Gordon Grace, D.DS.
Peter Gordon Grace, D.DS. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Geneva, NY and a listed phone number of (315) 789-7922.
Profile Overview
- NPI
- 1164551115
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 05, 2007
- Last Updated
- May 05, 2010
Practice Location
- 140 Washington Street
- Geneva, NY 14456
Phone: (315) 789-7922
Specialties
- General Practice Dentistry (1223G0001X)
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1164551115
- Entity Type
- Individual
- Last Name
- Grace
- First Name
- Peter
- Middle Name
- Gordon
- Name Prefix
- Dr.
- Credential
- D.DS.
- Mailing Street Address
- 140 Washington Street
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456
- Mailing Country
- US
- Mailing Phone
- (315) 789-7922
- Mailing Fax
- (315) 789-0078
- Practice Street Address
- 140 Washington Street
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456
- Practice Country
- US
- Practice Phone
- (315) 789-7922
- Practice Fax
- (315) 789-0078
- Enumeration Date
- March 05, 2007
- Last Updated
- May 05, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), General Practice Dentistry (1223G0001X)