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Contact Information

KC GRANGER DDS PC
1211 ENTERPRISE RD
MITCHELLEVILLE, MD20721-1834
 Phone: 301-249-3333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental

261QD0000X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for KC GRANGER DDS PC · (Female)

NPI # 1982914305
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2010
Last updated 10/25/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 14112
  • MD Medicaid 39607900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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