Grant H Service, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6383 Issued in NC

Practice address

2711 N Duke St
Suite B
Durham, NC 27704-2619

Phone

(919) 220-6553

Fax

(919) 220-2682

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grant H Service DDS PA

  • General Practice Dentistry
  • Durham, NC
  • NPI 1194997122
  NPD (past) Authorized official
• William R Church, DDS, PLLC

  • General Practice Dentistry
  • Durham, NC
  • NPI 1841170594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1104861822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST",
            "address_2": "SUITE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042619",
            "telephone_number": "919-220-6553",
            "fax_number": "919-220-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST",
            "address_2": "SUITE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042619",
            "telephone_number": "919-220-6553",
            "fax_number": "919-220-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVICE",
        "first_name": "GRANT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Taylor Sergomassov, RPH
• Jen Serio, MSW, LCSW
• Richard Serra, M.D.
• Joshua Serrano Otero, LPC, LCMHC-A, NCC
• Aime P Service, PHARMD,MBA,MA,BA
• Kimani Seryby, LPC
• Denzel Sesley
• Andrew Joseph Sessions, MD
• Darren Scott Sessler, CRNA
• Katrina Rose Sessler, PMHNP-BC

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.