Dawn M Grandison, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G10001161 Issued in DE

Practice address

773 S Queen St Ste B
Dover, DE 19904-3574

Phone

(302) 678-3384

Fax

(866) 861-3893

NPI assigned

Oct 5, 2006

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile to Smile Family Dental & Sedation Center, P.a.

  • Dental Clinic/Center
  • Dover, DE
  • NPI 1386966059
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1568558542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MILLET LN",
            "city": "WYOMING",
            "state": "DE",
            "postal_code": "199341285",
            "telephone_number": "302-222-8106",
            "fax_number": "668-613-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 S QUEEN ST STE B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043574",
            "telephone_number": "302-678-3384",
            "fax_number": "866-861-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDISON",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G10001161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001030831",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024575",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Governors Family Practice P.a
• Gowan Collective LLC
• Grace to Grace: the Parent's Journey
• Amanda Marie Graham, PT, DPT
• Heather Graham, DNP, APRN, AANP
• Adele T Granitto
• Jule Grant
• Lindsay Michele Grasso, MD
• Sydney Graves
• Jade-Lyn Gray, PA

• General Practice Dentistry in Dover, DE
• Providers in Dover, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.