Individual
DR. ALAN WORTH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
167 1ST AVE SW, TAYLORSVILLE, NC 28681
(828) 632-7008
Mailing address
PO BOX 755, TAYLORSVILLE, NC 28681
(828) 632-7008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993359
—
NC
Enumeration date
08/04/2006
Last updated
07/08/2007
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