Gregory P Grantham Dmd Pa

NPI 1477714384 - Dentist - 1223S0112X

NPI Details
NPI 1477714384
Enumeration Date 06/23/2008
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GREGORY P GREGORY
Position OWNER/PHYSICIAN
Phone (850) 769-3253
Fax (850) 784-0057
Practice Location
340 W 23RD ST
SUITE A
PANAMA CITY FL, 32405-7600, US
Phone (850) 769-3253
Fax (850) 784-0057
Business Location
340 W 23RD ST
SUITE A
PANAMA CITY FL, 32405-7600, US
Phone (850) 769-3253
Fax (850) 784-0057
Toxanomy
Taxonomy Code 1223S0112X
License State Florida
License Number DN4098
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According to our database, Gregory P Grantham Dmd Pa NPI is 1477714384, taxonomy code is 1223S0112X and license number is DN4098, license state is located at Florida. Gregory P Grantham Dmd Pa physically located at 340 W 23rd St, Panama City FL, 32405-7600. NPI Number 1033115704 has the healthcare provider type.

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1477714384 NPI number is provided on an as is basis without warranty of any kind. 1477714384 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory P Grantham Dmd Pa are for informational purposes only.