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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GIA S. GRANNUM, DMD

Active Sole Proprietor

DR. GIA S. GRANNUM, DMD is a Pediatric Dentistry healthcare provider located in PEACHTREE CORNERS, Georgia. NPI 1700041639 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PEACHTREE CORNERS, GA

Registration Details

NPI Number
1700041639
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2008 (18.094319023663 yrs)
Last Updated
Sep 3, 2024
Licenses
25502 (TX)
25502 (TX)
DN013924 (GA)
Sole Proprietor
Yes

Practice Information

Address
5185 PEACHTREE PKWY STE 325
PEACHTREE CORNERS, GA, 300926541
Browse GA providers · Browse ZIP 30092
Phone
6788315437
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.