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TIMOTHY T GRANTHAM DMD
NPI 1063580181
Dentist - General Practice in Valdosta, GA

Active since November 30, 2006
103 W CRANFORD AVE, VALDOSTA, GA 31602(229) 249-0717(229) 249-0799 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy T Grantham Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY T GRANTHAM DMD (NPI 1063580181) is an individual general practice provider in Valdosta, Georgia, licensed in Georgia (10547) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063580181
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY T GRANTHAMCredential: DMD
Location Address103 W CRANFORD AVEValdosta, GA 31602-2930
Mailing Address103 W Cranford AveValdosta, GA 31602-2930 · (229) 249-0717 · Fax (229) 249-0799
Phone(229) 249-0717
Fax(229) 249-0799
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063580181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 10547
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
103 W CRANFORD AVE, Valdosta, GA 31602
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Other Identifiers 1

Medicaid00379871CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOEL STITES DDS
Dentist (General Practice)
103 W CRANFORD AVE
VALDOSTA, GA 31602
Lowndes County (229) 249-0717
VALDOSTA DENTAL ASSOCIATES
Dentist (General Practice)
103 W CRANFORD AVE
VALDOSTA, GA 31602
Lowndes County (229) 249-0717
DR. JASON LAMAR LAIRSEY D.M.D
Dentist (General Practice)
103 W CRANFORD AVE
VALDOSTA, GA 31602
Lowndes County (229) 249-0717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Grantham's NPI number?

The NPI number for Timothy Grantham is 1063580181. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Timothy Grantham located?

Timothy Grantham practices at 103 W Cranford Ave, Valdosta, GA 31602. The listed phone number is (229) 249-0717.

What is Timothy Grantham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Timothy Grantham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Timothy Grantham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Grantham was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.