Gregory P Grantham DMD PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN4098 Issued in FL

Legal business name

GREGORY P GRANTHAM DMD PA

Practice address

340 W 23Rd St
Suite a
Panama City, FL 32405-7600

Phone

(850) 769-3253

Fax

(850) 784-0057

NPI assigned

Jun 23, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory P Grantham, DMD

Title

Owner/Physician

Phone

(850) 769-3253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1477714384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057600",
            "telephone_number": "850-769-3253",
            "fax_number": "850-784-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057600",
            "telephone_number": "850-769-3253",
            "fax_number": "850-784-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P GRANTHAM DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "GRANTHAM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "850-769-3253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN4098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen D Green, PHARMD
• Kenneth Vincent Green, DCSW LCSW
• Sandra Greene
• Amanda Greenwell, AU.D.
• Kelsey Greer, PA-C
• Deborah D. Gregory, RN
• Deborah Lee Greiner, PHARMD
• Tyler Gresham
• Miles T Grice IV
• Jocelyn Hope Grider

• Oral and Maxillofacial Surgery (Dentist) in Panama City, FL
• Providers in Panama City, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.