Dr Alim Jamal Grant, DDS in Kennesaw, GA - Medicare Dentist Provider

Dr Alim Jamal Grant, DDS is a medicare enrolled "Dentist - General Practice" provider in Kennesaw, Georgia. His current practice location is 1610 Ridenour Blvd Nw Ste 102, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 273-2819.

Dr Alim Jamal Grant is licensed to practice in Georgia (license number DN012743) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710012943.

Contact Information

	Dr Alim Jamal Grant, DDS
	1610 Ridenour Blvd Nw Ste 102, Kennesaw, GA 30152-4486
	(678) 273-2819
	(678) 245-7162

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alim Jamal Grant
Gender	Male
Speciality	Dentist - General Practice
Location	1610 Ridenour Blvd Nw Ste 102, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710012943
Provider Enumeration Date: 02/21/2007
Last Update Date: 08/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7810293289
Enrollment ID: I20160310001263

Medical Identifiers

Medical identifiers for Dr Alim Jamal Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710012943	NPI	-	NPPES
904873006B	Medicaid	GA
1487913	Other	GA	UNITED CONCORDIA INSURANC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN012743 (Georgia)	Secondary
1223G0001X	Dentist - General Practice	DN012743 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alim Jamal Grant is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Alim Jamal Grant, DDS 1610 Ridenour Blvd Nw Ste 102, Kennesaw, GA 30152-4486 Ph: (678) 273-2819	Dr Alim Jamal Grant, DDS 1610 Ridenour Blvd Nw Ste 102, Kennesaw, GA 30152-4486 Ph: (678) 273-2819

Reviews and Comments

Dentist in Kennesaw, GA

Daniel Whitner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2105 Barrett Park Dr Nw, Kennesaw, GA 30144 Phone: 770-421-8653
Dr. Bruce Alan Hester, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2980 Lewis St Nw, Kennesaw, GA 30144 Phone: 770-422-1554 Fax: 770-422-2893
Dr. Linda Wolf, Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 Hawkins Store Rd Nw, Suite A-1, Kennesaw, GA 30144 Phone: 770-926-3400 Fax: 770-926-6317
Dr. Sanghyun Park, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1610 Ridenour Blvd Nw Ste 102, Kennesaw, GA 30152 Phone: 678-273-2819
Dr. Eddie Woods, DDS Dentist Medicare: Medicare Enrolled Practice Location: 100 Chastain Center Blvd Nw, Suite 135, Kennesaw, GA 30144 Phone: 678-836-2115 Fax: 770-441-0299
Dr. Kimberly M Lim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3104 Creekside Village Dr Nw, Suite 301, Kennesaw, GA 30144 Phone: 770-974-8211
Dr. David Michael Hildreth, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2430 Powell Pl Nw, Kennesaw, GA 30144 Phone: 770-424-1705

Dr Alim Jamal Grant, DDS - Medicare Dentist in Kennesaw, GA