Gregory P Grantham Dmd Pa in Panama City - Oral And Maxillofacial Surgery
Gregory P Grantham Dmd Pa - NPI 1477714384
Gregory P Grantham Dmd Pa is a Oral And Maxillofacial Surgery in Panama City, Florida. Gregory P Grantham Dmd Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gregory P Grantham Dmd Pa is 1477714384. The last update date is 2008-06-23.
Gregory P Grantham Dmd Pa's current location address is 340 W 23rd St, Panama City, Florida. You can contact this provider via phone number 8507693253 and fax number 8507840057. The mailing address for Gregory P Grantham Dmd Pa is 340 W 23rd St, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gregory P Grantham Dmd Pa |
|---|---|
| Address | 340 W 23rd St, Panama City, Florida |
| Phone Number | 8507693253 |
| Fax Number | 8507840057 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Grantham P Gregory |
| Credentials | DMD |
| Telephone Number | 8507693253 |
NPI Number Detail
| NPI Number | 1477714384 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 340 W 23rd St |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 324057600 |
| Phone Number | 8507693253 |
| Fax Number | 8507840057 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN4098 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the Gregory P Grantham Dmd Pa's unique identification number?
The Gregory P Grantham Dmd Pa has been assigned the NPI (National Provider Identifier) Number 1477714384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Gregory P Grantham Dmd Pa is geographically located?
The Gregory P Grantham Dmd Pa is physically situated at the following location: 340 W 23Rd St, Panama City, FL, 324057600.
What is Gregory P Grantham Dmd Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory P Grantham Dmd Pa's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477714384 to Gregory P Grantham Dmd Pa?
The Centers for Medicare & Medicaid Services originally issued the 1477714384 to Gregory P Grantham Dmd Pa on 2008-06-23.
When was the Gregory P Grantham Dmd Pa's information last updated?
The Gregory P Grantham Dmd Pa's information was last updated on 2008-06-23.