DR. GEORGE M GRANT (NPI# 1871566984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871566984 |
| Entity Type | Individual |
| Full Name | DR. GEORGE M GRANT |
| Credential | DDS PHD |
| Practice Address |
310 Stagecoach Trl Suite 600 San Marcos TX 78666-5134 |
| Mailing Address |
711 W 38th St Suite A-1 Austin TX 78705-1121 |
| Practice Telephone | 5123964689 |
| Mailing Telephone | 5124541220 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-03-16 |
| 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 |
12838 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235469644 | George K Grant | Military Health Care Provider | 195 Michelle Ln, Apt 304, Groton, CT 06340-4278 | 2010-01-06 |
| 1356595003 | George Melville Grant | Social Worker | 126 Midwood St, Brooklyn, NY 11225-5010 | 2008-11-07 |
| 1407918139 | George Grant | Optometrist | 180 Mingarry Dr, Richmond Hill, GA 31324-5121 | 2006-12-16 |
| 1134768880 | George Grant | Counselor | 301 S Livingston Ave Fl 2, Livingston, NJ 07039-3932 | 2019-12-29 |
| 1720253099 | George Grant | Counselor | 2814 Aldine Bender Rd, Houston, TX 77032-3502 | 2008-04-28 |
| 1376565788 | George R Grant | Emergency Medicine | 1000 Health Center Drive, Mattoon, IL 61938-0372 | 2006-07-24 |
| Street Address |
310 STAGECOACH TRL SUITE 600 |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176720 | Larry Duane Molenda | Dentist | 310 Stagecoach Trl, Ste 800, San Marcos, TX 78666-5135 | 2005-07-05 |
| 1366752453 | T A Castoldi & Associates | General Practice | 310 Stagecoach Trl, Suite 200 B, San Marcos, TX 78666-5134 | 2010-10-07 |
| 1215088877 | Sullivan and Carothers Dental, Pa | Dentist | 310 Stagecoach Trl, Suite 700, San Marcos, TX 78666-5134 | 2007-01-12 |
| 1811048465 | Joseph Claberon Sullivan IIi | Dentist | 310 Stagecoach Trl, Suite 700, San Marcos, TX 78666-5134 | 2007-01-12 |
| 1619041415 | William Randolph Rogers | Family Medicine | 310 Stagecoach Trl, Suite 200, San Marcos, TX 78666-5134 | 2006-11-20 |
| 1770688210 | Patricia Rouisse Ballentine | Nurse Practitioner | 310 Stagecoach Trl, Suite 200a, San Marcos, TX 78666-5134 | 2006-09-13 |
| 1326031592 | Thea Dake | Social Worker | 310 Stagecoach Trl, Suite 300, San Marcos, TX 78666-5134 | 2005-08-23 |
| 1073506234 | Theodore Dake Jr. | Specialist | 310 Stagecoach Trl, Suite 300, San Marcos, TX 78666-5134 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| 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 |
|---|---|---|---|---|
| 1902306384 | Carus Dental | Dentist | 102 Wonder World Dr Ste 101, San Marcos, TX 78666-6080 | 2018-02-13 |
| 1740563253 | Thomas Vincent Brislin Jr. | Dentist | 2057 Silverado St, San Marcos, CA 92078-3201 | 2011-09-21 |
| 1952608291 | Ted Wassel | Dentist | 1030 La Bonita Dr, Suite 322, San Marcos, CA 92078-5291 | 2011-02-23 |
| 1992726681 | Donald Paul Bandy | Dentist | 4127 Day Dr., San Marcos, TX 78666-9540 | 2006-07-21 |
| 1134730914 | Tyler Nelson, Dds, Corp. | Dentist | 955 Boardwalk Ste 103, San Marcos, CA 92078-2659 | 2020-08-13 |
| 1902914021 | Kouros Izadi | Dentist | 709 Center Dr, Ste. 101, San Marcos, CA 92069-3536 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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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.