Timothy T Grantham is a Valdosta, Georgia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Timothy T Grantham is 10547 for General Practice Dentistry in Georgia. His current practice location is 103 W Cranford Ave, Valdosta. Patients can reach him at 229-249-0717.
Timothy T Grantham is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Timothy T Grantham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Timothy T Grantham
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
103 W Cranford Ave, Valdosta, Georgia, 31602-2930
Phone:
229-249-0717
Fax:
229-249-0799
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 are as mentioned below.
NPI Number:
1063580181
NPI Enumeration Date:
30 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy T Grantham are as mentioned below.
License Number
Specialization
State
Status
10547
General Practice Dentistry
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy T Grantham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00379871C
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
103 W Cranford Ave, Valdosta, Georgia
Zip:
31602-2930
Phone Number:
229-249-0717
Fax Number:
229-249-0799
Patients can reach Timothy T Grantham at 103 W Cranford Ave, Valdosta, Georgia or can call to book an appointment on 229-249-0717. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.