DR. GREGORY PORTER GRANTHAM (NPI# 1053462044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053462044 |
| Entity Type | Individual |
| Full Name | DR. GREGORY PORTER GRANTHAM |
| Credential | D.M.D. |
| Practice Address |
340 W 23rd St Suite A Panama City FL 32405-7600 |
| Practice Telephone | 8507693253 |
| Practice Fax Number | 8507840057 |
| Mailing Telephone | 8507693253 |
| Mailing Fax Number | 8507840057 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN4098 | FL | Dental Providers |
| Street Address |
340 W 23RD ST SUITE A |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619186442 | Bobbie R Earp | Speech-Language Pathologist | 340 W 23rd St, Suite A, Panama City, FL 32405-7600 | 2007-05-21 |
| 1285251702 | Arianna Reyher | Speech-Language Pathologist | 340 W 23rd St, Panama City, FL 32405-7600 | 2020-06-30 |
| 1366824294 | Ahmad S Aly | Pharmacist | 340 W 23rd St, Ste D2, Panama City, FL 32405-7600 | 2015-06-27 |
| 1730570300 | Sunshine Pediatrics | Pediatrics | 340 W 23rd St, Suite K, Panama City, FL 32405-7600 | 2015-02-18 |
| 1245660216 | Sarah Markwood | Speech-Language Pathologist | 340 W 23rd St, Suit H, Panama City, FL 32405-7600 | 2013-11-12 |
| 1912253436 | Melissa Anne Jane | Speech-Language Pathologist | 340 W 23rd St, Panama City, FL 32405-7600 | 2012-08-02 |
| 1164742334 | Gulf Pharmacy Corp | Pharmacy | 340 W 23rd St, Suite D2, Panama City, FL 32405-7600 | 2010-06-10 |
| 1427281757 | Magnolia Pediatric Therapy | Early Intervention Provider Agency | 340 W 23rd St, Suite H, Panama City, FL 32405-7600 | 2009-09-03 |
| 1952533002 | Magnolia Pediatric Therapy | Speech-Language Pathologist | 340 W 23rd St, Suite H, Panama City, FL 32405-7600 | 2009-08-21 |
| 1578707634 | Laura Myers | Speech-Language Pathologist | 340 W 23rd St, Suite H, Panama City, FL 32405-7600 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194983965 | Eric Richard Claussen | Dentist | 2624 Jenks Ave, Panama City, FL 32405-4311 | 2008-05-29 |
| 1275527137 | Larry Keith Long | Dentist | 2624 Jenks Ave Ste 1, Panama City, FL 32405 | 2005-09-07 |
| 1790087138 | Eric R. Claussen, D.m.d., P.a. | Dentist | 2624 Jenks Ave, Panama City, FL 32405-4311 | 2010-11-17 |
| 1477714384 | Gregory P Grantham Dmd Pa | Dentist | 340 W 23rd St, Suite A, Panama City, FL 32405-7600 | 2008-06-23 |
| 1477538924 | George John Walters | Dentist | 2202 State Ave, Suite 200, Panama City, FL 32405-7601 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on DR. GREGORY PORTER GRANTHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.