GRANTHAM DENTAL, INC. (NPI# 1609475524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609475524 |
| Entity Type | Organization |
| Organization Name | GRANTHAM DENTAL, INC. |
| Practice Address |
3620 Springhill Memorial Drive South Mobile AL 36608 |
| Practice Telephone | 2513447888 |
| Practice Fax Number | 2513447895 |
| Mailing Telephone | 2513447888 |
| Mailing Fax Number | 2513447895 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | DR. GARRETT A GRANTHAM (OWNER) |
| Authorized Official Telephone | 2513447888 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
3620 SPRINGHILL MEMORIAL DRIVE SOUTH |
| City | MOBILE |
| State | AL |
| Zip Code | 36608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| 1548556947 | Natasha H Andrews | Nurse Practitioner | 116 Carondolet Court West, Mobile, AL 36608 | 2011-06-23 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164918843 | Spencer Wright | Dentist | 2423 Schillinger Rd S Ste 104, Mobile, AL 36695-4142 | 2018-07-06 |
| 1437527736 | Mobile Bay LLC | Dentist | 3281 Bel Air Mall, Suite G18a, Mobile, AL 36606-3207 | 2015-09-03 |
| 1245617141 | Rozalia Mandras Pitruzzello | Dentist | 3716 Airport Blvd, Mobile, AL 36608-1618 | 2015-04-29 |
| 1801200134 | Lee Redditt | Dentist | 120 S University Blvd, Mobile, AL 36608-3045 | 2014-06-14 |
| 1174949549 | R Henry Esham II Dmd, PC | Dentist | 703 Bishop Ln N, Mobile, AL 36608-5838 | 2014-03-10 |
| 1548604739 | Tillman's Corner Dental, P.C. | Dentist | 5659 Three Notch Rd., Mobile, AL 36619 | 2013-04-18 |
| 1104122779 | Hubert H. Parker Iv Dmd PC | Dentist | 505 Georgian Dr Ste B, Mobile, AL 36609-3432 | 2011-01-31 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1205069200 | David V Adams | Dentist | 821 S University Blvd, Mobile, AL 36609-7873 | 2009-08-25 |
| 1891924015 | Robert Blankenship Maitre | Dentist | 801 S University Blvd # A, Mobile, AL 36609-2923 | 2009-07-09 |
| Find all providers in MOBILE | ||||
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| 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.