Grisham, Emily Anne Latta

Grisham, Emily Anne Latta is an individual health care provider with primary practice located at 4001 Balmoral Dr Sw , Huntsville AL 35801-6403. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Grisham, Emily Anne Latta can be contacted via phone (256) 539-7447.

Contact Information

Primary practice address
4001 Balmoral Dr Sw Huntsville AL 35801-6403
Phone: (256) 539-7447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6215 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 6215 Alabama

Profile Details

NPI number 1114309705
LBN Legal business name Grisham, Emily Anne Latta
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Jun 18th, 2019 - 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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