Granger, Gary R.

Granger, Gary R. is an sole proprietor health care provider with primary practice located at 4351 S Hulen St , Fort Worth TX 76109-4917. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Granger, Gary R. can be contacted via phone (817) 926-6677.

Contact Information

Primary practice address
4351 S Hulen St Fort Worth TX 76109-4917
Fax: (817) 926-6679
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10048 Texas

Profile Details

NPI number 1275661712
LBN Legal business name Granger, Gary R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 17 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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