King, Grant Thomas

King, Grant Thomas is an individual health care provider with primary practice located at 6268 Poplar Ave , Memphis TN 38119-4713. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. King, Grant Thomas can be contacted via phone (901) 761-3770.

Contact Information

Primary practice address
6268 Poplar Ave Memphis TN 38119-4713
Phone: (901) 761-3770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DS0000010322 Tennessee

Profile Details

NPI number 1619327244
LBN Legal business name King, Grant Thomas
Credentials D.D.S., M.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Jul 9th, 2019 - about 5 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.

Request for update

Popular Providers