Grandison, Nigel Dave
Grandison, Nigel Dave is an sole proprietor health care provider with primary practice located at 10794 Pines Blvd Suite 101, Pembroke Pines FL 33026-3920. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Grandison, Nigel Dave can be contacted via phone (954) 916-9060.Contact Information
Primary practice address
10794 Pines Blvd Suite 101
Pembroke Pines FL 33026-3920
Phone: (954) 916-9060
Fax: (954) 432-6716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN14446 | Florida |
Profile Details
| NPI number | 1326148909 |
|---|---|
| LBN Legal business name | Grandison, Nigel Dave |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Apr 28th, 2014 - about 10 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 | 1326148909 | NPPES |
| Florida | MEDICAID | 071682102 | |
| Florida | MEDICAID | 075944900 |
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