Individual
DR. FORD T GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 HEALTH CENTER DR, ECU SODM CSLC, AHOSKIE, NC 27910-8161
(252) 737-7200
(252) 209-8652
Mailing address
100 HEALTH CENTER DR, ECU SODM CSLC, AHOSKIE, NC 27910-8161
(252) 737-7200
(252) 209-8652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6223
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899335M
—
NC
Enumeration date
08/01/2006
Last updated
07/23/2013
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