Active NPI 1932115011 Individual Practitioner Male Practitioner

Dr. Jack Grodner , DDS

Dentist - General Practice • Springfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jack Grodner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, OH. Practice services are available at 413 E HOME RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

413 E Home Rd

Springfield, OH 455032708

Telephone 9373903077

Associated Practice Facility / Clinic

🏢 Healthy Homes And Hearts Facility NPI 1205713922

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 19.6 Yrs

Regional Practice Density

37 Specialists

Practicing in Springfield, OH (4287 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 15077

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0341446 (OH)

Commercial Insurance / Payer ID Doral Locator Number

107461 (OH)

Commercial Insurance / Payer ID Caresource-Medicaid

310916628026 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Christian Victor , DDS

Dentist - General Practice

NPI 1477714475

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 413 E HOME RD, SPRINGFIELD, OH 455032708 (Tel: 9373903077)

📍

Updated Business Mailing Address July 08, 2007

Registered at 413 E HOME RD, SPRINGFIELD, OH 455032708 (Tel: 9373903077)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GRODNER, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #15077 in OH)

🟢

Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932115011

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 31, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

413 E Home Rd

Springfield, OH 455032708

Phone: 9373903077

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.