Grantham, Brandon

Grantham, Brandon is an sole proprietor health care provider with primary practice located at 1801 Patriot Circle , Copperas Cove TX 76522. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Grantham, Brandon can be contacted via phone (254) 547-6453.

Contact Information

Primary practice address
1801 Patriot Circle Copperas Cove TX 76522
Phone: (254) 547-6453
Fax: (254) 547-7401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Dental Providers / Dentist 122300000X 22297 Texas

Profile Details

NPI number 1790849248
LBN Legal business name Grantham, Brandon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Oct 25th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790849248 NPPES
Texas Other 1878704 UNITED CONCORDIA

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