National Provider Identifier Database

KC GRANGER DDS PC
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

KC GRANGER DDS PC
1211 ENTERPRISE RD
MITCHELLEVILLE, MD20721-1834
Phone: 301-249-3333
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dental 261QD0000X
Endodontics 1223E0200X
Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for KC GRANGER DDS PC

NPI Number 1982914305
Legal business name
LBN
KC GRANGER DDS PC
Authorized official KEVIN GRANGER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/19/2010
Last updated 10/25/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 14112
  • MD Medicaid: 39607900

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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