MICHAEL W GRANGER


Address: 745 Bradley Dr, Fayetteville, GA 30214-2030
Phone: 7704614142

MICHAEL W GRANGER (NPI# 1992864375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992864375
Entity Type Individual
Full Name MICHAEL W GRANGER
Other Name MICHAEL WADE GRANGER
Credential DMD
Practice Address 745 Bradley Dr
Fayetteville
GA 30214-2030
Practice Telephone 7704614142
Practice Fax Number 7707198862
Mailing Telephone 7704614142
Mailing Fax Number 7707198862
Enumeration Date 2006-12-08
Last Update Date 2012-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
011413 GA Dental Providers

Office Location

Street Address 745 BRADLEY DR
City FAYETTEVILLE
State GA
Zip Code 30214-2030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922216886 Alben Benton Curtis Dentist 745 Bradley Dr, Fayetteville, GA 30214-2030 2007-05-21

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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578001616 Jesse R Gray Dds Pa Dentist 3119 E Mission Blvd, Fayetteville, AR 72703-6617 2017-02-09
1972972685 Trinity Orthodontics of Fayetteville LLC Dentist 719 Lanier Ave W Ste B, Fayetteville, GA 30214-7621 2015-09-23
1386048189 Bethel Burris Oliver Pllc Dentist 2901 Zion Rd, Fayetteville, AR 72703-5007 2014-10-22
1083957351 Gateway Ventures LLC Dentist 3782 N Front St, Suite 1, Fayetteville, AR 72703-5128 2013-04-04
1780995449 Gregory J Stock Dentist 404 E Genesee St, Fayetteville, NY 13066-1503 2010-06-28
1003019845 Dana Thi Tang Dentist 2997 Hope Mills Rd Ste C, Fayetteville, NC 28306-8349 2007-06-08
1326256066 Eric J. Echols Dentist 102 Pavilion Pkwy, Suite 14, Fayetteville, GA 30214-4056 2007-05-18
1033325436 Darrin Storms D.d.s., C.a.g.s., P.a. Dentist 4102 N Mall Ave Ste 101, Fayetteville, AR 72703-4929 2007-05-15
1962623819 J. Spencer Boley Dentist 4501 W Wedge Dr, Fayetteville, AR 72704-7532 2007-05-01
1922166610 Bill Pickard, Dds, Ms, Pa Dentist 3533 N Shiloh Dr Ste 3, Fayetteville, AR 72703-5317 2006-12-05
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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