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Search › Georgia › General Practice Dentistry

Benjamin Grant

NPI 1376766956 · on the registry since 2007 · sole proprietor

Practice

Address
3744 Lavista Rd
Suite B
Decatur, GA 30033
Phone
(404) 634-2205
Fax
(404) 982-9210
Organisation at this address
Oak Grove Pediatric Dentistry, P.C.
John A. Clinebell, D.D.S., M.S., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia