Grandison, Dawn M
Grandison, Dawn M is an sole proprietor health care provider with primary practice located at 773 S Queen St Ste B , Dover DE 19904-3574. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Grandison, Dawn M can be contacted via phone (302) 678-3384.Contact Information
Primary practice address
773 S Queen St Ste B
Dover DE 19904-3574
Phone: (302) 678-3384
Fax: (866) 861-3893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | G10001161 | Delaware |
Profile Details
| NPI number | 1568558542 |
|---|---|
| LBN Legal business name | Grandison, Dawn M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Aug 26th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568558542 | NPPES |
| Delaware | MEDICAID | 0001030831 | |
| Delaware | MEDICAID | 1000024575 |
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