# MYRON FREEMAN DDS & NORMAN H GROLNICK DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174690382
- **Authorized official:** DR. NORMAN H GROLNICK DDS (DENTIST CORP SECRETARY)
- **Authorized official phone:** (856) 848-6630

## Contact information

- **Practice address:** 40 ELM AVE, WOODBURY HEIGHTS, NJ 08097
- **Practice address phone:** (856) 848-6630
- **Practice address fax:** (856) 848-7294
- **Mailing address:** 40 ELM AVE, WOODBURY HEIGHTS, NJ 08097
- **Mailing address phone:** (856) 848-6630
- **Mailing address fax:** (856) 848-7294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6433 | NJ | Yes |
| 122300000X | Dentist | 9145 | NJ | — |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 09/22/2009