# MARK R GRENADIER DDS, P.C.

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

## Provider details

- **NPI number:** 1811268782
- **Authorized official:** SHEILA GRENADIER OFFICE MANAGER (OFFICE MANAGER)
- **Authorized official phone:** (412) 788-9333

## Contact information

- **Practice address:** 4955 STEUBENVILLE PIKE, \#361, PITTSBURGH, PA 15205
- **Practice address phone:** (412) 788-9333
- **Practice address fax:** (412) 788-9341
- **Mailing address:** 4955 STEUBENVILLE PIKE, \#361, PITTSBURGH, PA 15205
- **Mailing address phone:** (412) 788-9333
- **Mailing address fax:** (412) 788-9341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DS025828-L | PA | Yes |

## Other

- **Enumeration date:** 01/24/2012
- **Last updated:** 10/26/2012
