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DR. GEORGE M GRANT DDS PHD NPI 1871566984


NPI Information

NPI: 1871566984
Provider Name: DR. GEORGE M GRANT, DDS PHD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
310 STAGECOACH TRL
SUITE 600
SAN MARCOS, TX
ZIP 78666
Phone: (512) 396-4689
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DR. George M Grant, DDS PHD is an oral and maxillofacial surgery dentist in San Marcos, TX. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. George M Grant, DDS PHD NPI is 1871566984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

310 STAGECOACH TRL
SUITE 600
SAN MARCOS, TX
ZIP 78666-134
Phone: (512) 396-4689

The enumeration date for this NPI number is 2/9/2006 and was last updated on 3/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery12838TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U72421MEDICARE UPIN
286Z312MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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