Individual
DR. JOHN STANLEY GRAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1203 W MAIN ST, HEBER SPRINGS, AR 72543-2830
(501) 362-2845
Mailing address
1203 W MAIN ST, HEBER SPRINGS, AR 72543-2830
(501) 362-2845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2486
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58572
BLUE CROSS PROVIDER NUMBE
AR
Enumeration date
02/12/2007
Last updated
07/09/2007
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