Individual provider · Type 1 NPI

Kelly Granger, DDS

Pediatric Dentistry · Falls Church, VA

NPI number 1497489744 Active

Practice location

80 E Jefferson St Ste 400B
Falls Church, VA 22046-3569

Mailing address

1301 M St NW Apt 520
Washington, DC 20005-4222

Other practice locations

  • 211 Shorebird St Ste B, Frederick, MD 21701-1963 · (301) 202-5041

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDEN2000111 (DC)
Pediatric Dentistry Primary 1223P0221X17330 (MD)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1497489744

Kelly Granger, DDS's National Provider Identifier is 1497489744, issued on Jul 12, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Falls Church, VA. The record was last updated on Jul 12, 2022.