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NPI Code Detail

MEDICARE: JAMES CURTIS GRANBERRY D.D.S.

MEDICARE: JAMES CURTIS GRANBERRY D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry15419TX

General Provider Information

NPI Number : 1679597306
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES CURTIS GRANBERRY D.D.S.
Provider Business Mailing Address
First Line : 3007 HIGH CASTLE CT
Second Line :
City : HOUSTON
State : TX
Zip : 77059-2847
Country : US
Telephone Number : 281-286-4950
Fax Number :
Provider Business Practice Location Address
First Line : 3883 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7515
Country : US
Telephone Number : 713-629-0900
Fax Number : 713-629-4990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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