| Gregory P Grantham Dmd Pa | |
|
340 W 23rd St Suite A Panama City FL 32405-7600 | |
| (850) 769-3253 | |
| (850) 784-0057 |
| Full Name | Gregory P Grantham Dmd Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 340 W 23rd St, Panama City, Florida |
| Authorized Official Name and Position | Gregory P Grantham (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8507693253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory P Grantham Dmd Pa 340 W 23rd St Suite A Panama City FL 32405-7600 Ph: (850) 769-3253 | Gregory P Grantham Dmd Pa 340 W 23rd St Suite A Panama City FL 32405-7600 Ph: (850) 769-3253 |
| NPI Number | 1477714384 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477714384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN4098 (Florida) | Primary |
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