| Grantham Dental, Inc. | |
|
3620 Springhill Memorial Drive South Mobile AL 36608 | |
| (251) 344-7888 | |
| (251) 344-7895 |
| Full Name | Grantham Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3620 Springhill Memorial Drive South, Mobile, Alabama |
| Authorized Official Name and Position | Garrett A Grantham (OWNER) |
| Authorized Official Contact | 2513447888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grantham Dental, Inc. 3620 Springhill Memorial Drive South Mobile AL 36608 Ph: (251) 344-7888 | Grantham Dental, Inc. 3620 Springhill Memorial Drive South Mobile AL 36608 Ph: (251) 344-7888 |
| NPI Number | 1609475524 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609475524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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