Kc Granger Dds Pc is a dental clinic (Dentist - General Practice) in Mitchelleville, Maryland. The current practice location for Kc Granger Dds Pc is 1211 Enterprise Rd, Mitchelleville, Maryland. For appointments, you can reach them via phone at
(301) 249-3333. The mailing address for Kc Granger Dds Pc is 1211 Enterprise Rd, Bowie, Maryland and phone number is (615) 480-5562.
Kc Granger Dds Pc is licensed to practice in Maryland (license number 14112) and its
NPI number is 1982914305. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(301) 249-3333.
Dental Care Clinic Profile
| Full Name | Kc Granger Dds Pc |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 1211 Enterprise Rd, Mitchelleville, Maryland |
|---|
| Authorized Official Name and Position | Kevin Granger (OWNER) |
|---|
| Authorized Official Contact | 3012493333 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kc Granger Dds Pc
1211 Enterprise Rd
Bowie
MD 20721-1909
Ph: (615) 480-5562 | Kc Granger Dds Pc
1211 Enterprise Rd
Mitchelleville
MD 20721-1834
Ph: (301) 249-3333 |
NPI Details:
| NPI Number | 1982914305 |
|---|
| Provider Enumeration Date | 10/19/2010 |
|---|
| Last Update Date | 10/25/2023 |
|---|
Medical Identifiers
Medical identifiers for Kc Granger Dds Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982914305 | NPI | - | NPPES |
| 39607900 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 14112 (Maryland) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
Reviews and Comments