Individual
GRAESON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4771 MAIN ST, MILLBROOK, AL 36054-2859
(334) 290-0595
Mailing address
4771 MAIN ST, MILLBROOK, AL 36054-2859
(334) 290-0595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
007488
AL
Other
Enumeration date
05/30/2023
Last updated
07/24/2025
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