Individual provider · Type 1 NPI

Winter Jordan Grasser, DMD

Student in an Organized Health Care Education/Training Program · Fort Benning, GA

NPI number 1700794450 Active

Practice location

7101 Hoff St Bldg 9240
Fort Benning, GA 31905-5645

Call (706) 718-4719 Map

Mailing address

1448 Grove Park Dr Apt 1406
Columbus, GA 31904-1598

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700794450

Winter Jordan Grasser, DMD's National Provider Identifier is 1700794450, issued on Sep 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Benning, GA. The record was last updated on Sep 1, 2026.