DR. NICOLE REYES GRANT DMD
NPI 1821641614
Dentist - General Practice in Mansfield, TX

Active since July 20, 2019
1830 E BROAD ST STE 100, MANSFIELD, TX 76063(817) 477-4441 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2020, Jul 20, 2019 (2 updates tracked since 2019).

About Dr. Nicole Reyes Grant Dmd NPPES

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

DR. NICOLE REYES GRANT DMD (NPI 1821641614) is an individual general practice provider in Mansfield, Texas, licensed in Texas (35510) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1821641614
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICOLE REYES GRANTCredential: DMD
Location Address1830 E BROAD ST STE 100Mansfield, TX 76063-9161
Mailing Address1830 E Broad St Ste 100Mansfield, TX 76063-9161
Sole ProprietorNo
Enumeration DateJuly 20, 2019
Last NPPES UpdateFebruary 12, 20202 updates tracked since enumeration
NPI 1821641614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 35510
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.
1830 E BROAD ST STE 100, Mansfield, TX 76063

Other Names 1

Former Name (1)Dr. Nicole Maldia Reyes Dmd

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 Nicole Grant's NPI number?

The NPI number for Nicole Grant is 1821641614. It was assigned to this individual provider in the NPPES registry on July 20, 2019. The provider is also known as Dr. Nicole Maldia Reyes Dmd.

Where is Nicole Grant located?

Nicole Grant practices at 1830 E Broad St Ste 100, Mansfield, TX 76063. The listed phone number is (817) 477-4441.

What is Nicole Grant's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Grant was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.