# DR. EMILY ANNE LATTA GRISHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114309705
- **Gender:** F
- **Credential:** D.M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6215 | AL | — |
| 1223P0221X | Pediatric Dentistry | 6215 | AL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 06/18/2019