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General NPI Number Information
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NPI Number | 1700794450
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Entity Type | Individual
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Provider Name | WINTER JORDAN GRASSER DMD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 7101 HOFF ST BLDG 9240
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City | FORT BENNING
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State | GA
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Zip | 31905-5645
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Country | US
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Telephone | 706-718-4719
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Fax |
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Provider Business Mailing Address
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Address Line | 1448 GROVE PARK DR APT 1406
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City | COLUMBUS
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State | GA
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Zip | 31904-1598
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Country | US
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Telephone | 832-544-8753
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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