Benjamin Howard Grant

General Practice Dentistry · Decatur, GA

Individual Active NPI

NPI number 1376766956

Practice location

3744 Lavista Rd
Suite B
Decatur, GA 30033-1006
Phone
(404) 634-2205
Fax
(404) 982-9210

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NPI record

NPI
1376766956
Entity type
Individual (Type 1)
Enumeration date
April 11, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6532 GA

About Benjamin Grant

Benjamin Howard Grant is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3744 Lavista Rd, Suite B, Decatur, GA 30033-1006. The NPI number 1376766956 was assigned on April 11, 2007 and the record was last updated on July 8, 2007.

Benjamin Grant lists a license in the registry: #6532 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Howard Grant?

The NPI number is 1376766956.

What is the phone number of Benjamin Grant?

The phone number listed for the practice location is (404) 634-2205.

Where is Benjamin Grant located?

3744 Lavista Rd, Suite B, Decatur, GA 30033-1006.

What is the taxonomy code for Benjamin Grant?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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