Individual
GRANT PERRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7101 HOFF ST BLDG 9240, USA DENTAL ACTIVITY, FORT BENNING, GA 31905-5645
(706) 544-4530
(706) 544-1933
Mailing address
7101 HOFF ST BLDG 9240, USA DENTAL ACTIVITY, FORT BENNING, GA 31905-5645
(706) 544-4530
(706) 544-1933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
015294
MO
1223G0001X
General Practice Dentistry
Primary
015294
MO
Other
Enumeration date
09/02/2006
Last updated
09/11/2025
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