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Timothy T Grantham, DMD
General Practice Dentistry in Valdosta, Georgia
NPI 1063580181

Timothy T Grantham is a General Practice Dentistry based in Valdosta, GA and is specialized in General Practice. Timothy T Grantham practices in Valdosta, GA and has the professional credentials of DMD. The NPI Number for Timothy T Grantham is 1063580181 and holds a License No. 10547 (Georgia).

The current practice location address for Timothy T Grantham is 103 W Cranford Ave, Valdosta, GA and can be reached out via phone at 229-249-0717 and via fax at 229-249-0799.

Location: 103 W Cranford Ave, Valdosta, GA, 31602-2930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063580181
Provider Name
Timothy T Grantham
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
103 W Cranford Ave, Valdosta, GA, 31602-2930
Phone Number
229-249-0717
Fax Number
229-249-0799
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00379871C 05 GA
institution
Provider Business Practice Location Address Details
Address
103 W Cranford Ave
City
Valdosta
State
Georgia
Zip
31602-2930
Phone Number
229-249-0717
Fax Number
229-249-0799
person
Provider Business Mailing Address Details
Address
103 W Cranford Ave
City
Valdosta
State
Georgia
Zip
31602-2930
Phone Number
229-249-0717
Fax Number
229-249-0799
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10547 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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