Healthcare Provider Details

I. General information

NPI: 1003745944
Provider Name (Legal Business Name): DRYDEN GRANGER DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 CIVIC CENTER DR
OCEANSIDE CA
92054-2506
US

IV. Provider business mailing address

3429 LOMAS SERENAS DR
ESCONDIDO CA
92029-7906
US

V. Phone/Fax

Practice location:
  • Phone: 760-722-4765
  • Fax: 760-722-0980
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DRYDEN GRANGER
Title or Position: DENTIST
Credential: DDS
Phone: 760-201-5854