Grantham Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRANTHAM DENTAL, INC.

Practice address

3620 Springhill Memorial Drive South
Mobile, AL 36608

Phone

(251) 344-7888

Fax

(251) 344-7895

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Garrett A Grantham, D.M.DNPI 1609947050

Title

Owner

Phone

(251) 344-7888

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett Andrew Grantham, DMD

  • Dentist
  • Mobile, AL
  • NPI 1609947050
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1609475524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 SPRINGHILL MEMORIAL DRIVE SOUTH",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-344-7888",
            "fax_number": "251-344-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 SPRINGHILL MEMORIAL DRIVE SOUTH",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-344-7888",
            "fax_number": "251-344-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTHAM DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "GRANTHAM",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-344-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "granthamdental@yahoo.com",
            "affiliation": "N",
            "address_1": "3620 Springhill Memorial Drive South",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Ashley Graham, CRNA
• Hudson Grammer
• Michael Lee Granberry, MD
• Darnesha Danielle Grant, CRNP
• Douglas H. Grant, D.M.D.
• Garrett Andrew Grantham, DMD
• Lauren Chyann Grantham, DNP
• Mary Frances Graves, PA-C
• Pamela J Graves, M.S., CCC-A
• Yvette Hollis Graves

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.