Provider Demographics
NPI:1760516264
Name:GRASKEMPER, JOSEPH P (DDS,JD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:GRASKEMPER
Suffix:
Gender:M
Credentials:DDS,JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BELLPORT LN
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-2705
Mailing Address - Country:US
Mailing Address - Phone:631-286-4243
Mailing Address - Fax:631-286-3747
Practice Address - Street 1:7 BELLPORT LN
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-2705
Practice Address - Country:US
Practice Address - Phone:631-286-4243
Practice Address - Fax:631-286-3747
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046237122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist