Individual
DONALD LEON GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
424 9TH ST, SUITE #1, COLUMBUS, GA 31901-2895
(706) 327-9936
Mailing address
424 9TH ST, SUITE #1, COLUMBUS, GA 31901-2895
(706) 327-9936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000966908B
—
GA
05
—
000966908E
—
GA
Enumeration date
07/28/2006
Last updated
12/17/2014
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