Individual
DR. JAMIE ALAN GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN012683
GA
1223G0001X
General Practice Dentistry
DS0000008431
TN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8431
TN
Other
Enumeration date
01/26/2006
Last updated
07/21/2020
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