Individual provider · Type 1 NPI

Richard Grant, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · San Diego, CA

NPI number 1154460228 Active

Practice location

12395 El Camino Real, Suite 218
San Diego, CA 92130-3082

Call (858) 755-1515 Map

Fax (858) 755-7878

Mailing address

12374 Carmel Country Rd, H310
San Diego, CA 92130-4523

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X51412 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1154460228

Richard Grant, DDS, M.S.'s National Provider Identifier is 1154460228, issued on Feb 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.