Richard Grant in San Diego - Orthodontics And Dentofacial Orthopedics
Richard Grant - NPI 1154460228
Richard Grant is a Orthodontics And Dentofacial Orthopedics in San Diego, California. Richard Grant practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard Grant is 1154460228. The last update date is 2007-07-08.
Richard Grant's current location address is 12395 El Camino Real, San Diego, California. You can contact this provider via phone number 8587551515 and fax number 8587557878. The mailing address for Richard Grant is 12395 El Camino Real, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Grant |
|---|---|
| Address | 12395 El Camino Real, San Diego, California |
| Phone Number | 8587551515 |
| Fax Number | 8587557878 |
| Sole Proprietor | Y |
| Credentials | D.D.S.,M.S |
NPI Number Detail
| NPI Number | 1154460228 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12395 El Camino Real |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921303082 |
| Phone Number | 8587551515 |
| Fax Number | 8587557878 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 51412 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Grant by the Centers for Medicare & Medicaid Services?
The Richard Grant has been issued the NPI (National Provider Identifier) 1154460228 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Richard Grant?
The Richard Grant is physically situated at 12395 El Camino Real, in the city of San Diego, state of CA, with the postal code 921303082.
What is Richard Grant's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard Grant's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Richard Grant receive its 1154460228 assignment from the Centers for Medicare & Medicaid Services?
The Richard Grant was assigned its 1154460228 by the Centers for Medicare & Medicaid Services on 2007-02-06.
When was the information pertaining to Richard Grant most recently updated or revised?
The details related to Richard Grant, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY