Kc Granger Dds Pc is a Endodontics Clinic in Mitchelleville, Maryland. It is located at 1211 Enterprise Rd, Mitchelleville, MD and its contact number is 301-249-3333. The authorized person for Kc Granger Dds Pc is Kevin Granger
who is Owner of the clinic and their contact number is 301-249-3333. The primary license number for Kc Granger Dds Pc is 14112 (General Practice) in Maryland.
Kc Granger Dds Pc Clinic deals with the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Complete Clinic Profile:
Kc Granger Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kc Granger Dds Pc |
| Specialization: | Endodontics |
| Clinic Address: | 1211 Enterprise Rd, Mitchelleville,
Maryland, 20721-1834 |
| Phone: | 301-249-3333 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Kevin Granger |
| Position: | Owner |
| Contact Number: | 301-249-3333 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kc Granger Dds Pc clinic are as mentioned below.
| NPI Number: | 1982914305 |
| NPI Enumeration Date: | 19 Oct, 2010 |
| NPI Last Update On: | 25 Oct, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kc Granger Dds Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 14112 | Maryland | Primary | |
| Endodontics | | | Secondary | |
| Dental | | | Secondary | |
| Oral and Maxillofacial Surgery | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 39607900 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kc Granger Dds Pc
1211 Enterprise Rd,
Bowie, Maryland |
| Zip: | 20721-1909 |
| Phone Number: | 615-480-5562 |
Patients can reach Kc Granger Dds Pc at
1211 Enterprise Rd, Mitchelleville, Maryland or can
call to book an appointment on 301-249-3333.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.