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KC GRANGER DDS PC
NPI 1982914305
Dentist - General Practice in Mitchelleville, MD

Active since October 19, 2010
1211 ENTERPRISE RD, MITCHELLEVILLE, MD 20721(301) 249-3333 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Mar 1, 2018 (2 updates tracked since 2018).

About Kc Granger Dds Pc NPPES

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

KC GRANGER DDS PC (NPI 1982914305) is a healthcare organization registered as a general practice in Mitchelleville, Maryland and active in the NPI registry since October 2010. The organization lists Kevin Granger, Owner, as its authorized official.

NPPES Registry Identity

NPI1982914305
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKC GRANGER DDS PC
Location Address1211 ENTERPRISE RDMitchelleville, MD 20721-1834
Mailing Address1211 Enterprise RdBowie, MD 20721-1909 · (615) 480-5562 · Fax (301) 249-4214
Phone(301) 249-3333
Organization SubpartNo
Authorized OfficialKevin GrangerOwner · (301) 249-3333
Enumeration DateOctober 19, 2010
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1982914305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 14112
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X
1211 ENTERPRISE RD, Mitchelleville, MD 20721
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Other Identifiers 1

Medicaid39607900MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CHRISTOPHER J DOERRER DDS
Dentist (General Practice)
1211 ENTERPRISE RD
MITCHELLVILLE, MD 20721
Prince George's County (301) 249-3333
ENTERPRISE DENTAL CARE
Clinic/Center (Dental)
1211 ENTERPRISE RD
MITCHELLEVILLE, MD 20721
Prince George's County (301) 249-3941

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 Kc Granger Dds PC's NPI number?

The NPI number for Kc Granger Dds PC is 1982914305. It was assigned to this organization in the NPPES registry on October 19, 2010.

Where is Kc Granger Dds PC located?

Kc Granger Dds PC is located at 1211 Enterprise Rd, Mitchelleville, MD 20721. The listed phone number is (301) 249-3333.

What is Kc Granger Dds PC'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 Kc Granger Dds PC was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.