Michael W Granger in Fayetteville - Orthodontics And Dentofacial Orthopedics
Michael W Granger - NPI 1992864375
Michael W Granger is a Orthodontics And Dentofacial Orthopedics in Fayetteville, Georgia. Michael W Granger practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Michael W Granger is 1992864375. The last update date is 2012-07-09.
Michael W Granger's current location address is 745 Bradley Dr, Fayetteville, Georgia. You can contact this provider via phone number 7704614142 and fax number 7707198862. The mailing address for Michael W Granger is 745 Bradley Dr, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael W Granger |
|---|---|
| Address | 745 Bradley Dr, Fayetteville, Georgia |
| Phone Number | 7704614142 |
| Fax Number | 7707198862 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1992864375 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2012-07-09 |
Provider Mailing Address Detail
| Address | 745 Bradley Dr |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302142030 |
| Phone Number | 7704614142 |
| Fax Number | 7707198862 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 11413 |
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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 Michael W Granger's 1992864375?
The Michael W Granger's NPI (National Provider Identifier) Number is 1992864375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael W Granger is geographically located?
The Michael W Granger is physically situated at the following location: 745 Bradley Dr, Fayetteville, GA, 302142030.
What is Michael W Granger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael W Granger is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992864375 to Michael W Granger?
The Centers for Medicare & Medicaid Services originally issued the 1992864375 to Michael W Granger on 2006-12-08.
When was the information related to Michael W Granger most recently updated or refreshed?
The details pertaining to the Michael W Granger, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-09.