Individual
DR. JAMES D GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1848 MILLENIUM WAY, MERIDIAN, ID 83642-1510
(208) 888-2026
(208) 888-2094
Mailing address
1848 MILLENIUM WAY, MERIDIAN, ID 83642-1510
(208) 888-2026
(208) 888-2094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3875
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807160400
—
ID
Enumeration date
10/04/2006
Last updated
02/12/2024
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