Granger, Michael W
Granger, Michael W is an individual health care provider with primary practice located at 745 Bradley Dr , Fayetteville GA 30214-2030. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Granger, Michael W can be contacted via phone (770) 461-4142.Contact Information
Primary practice address
745 Bradley Dr
Fayetteville GA 30214-2030
Phone: (770) 461-4142
Fax: (770) 719-8862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 011413 | Georgia |
Profile Details
| NPI number | 1992864375 |
|---|---|
| LBN Legal business name | Granger, Michael W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 9th, 2012 - about 13 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.
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