| Nicole Dominique Grant, DMD | |
|
1461 Broadway St Apt A, Longview, WA 98632-3724 | |
| (855) 433-6825 | |
| Not Available |
| Full Name | Nicole Dominique Grant |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1461 Broadway St Apt A, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497197941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60396563 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Dominique Grant, DMD 6950 Ne Campus Way, Hillsboro, OR 97124-5611 Ph: (425) 293-8593 | Nicole Dominique Grant, DMD 1461 Broadway St Apt A, Longview, WA 98632-3724 Ph: (855) 433-6825 |
Dr. Chad L Kleven, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 870 11th Ave, Longview, WA 98632 Phone: 360-425-4900 Fax: 360-636-4641 | |
Dr. Cabel Aron Mcdonald, DDS Dentist Medicare: Medicare Enrolled Practice Location: 855 11th Ave Ste B, Longview, WA 98632 Phone: 360-425-7220 Fax: 360-425-5045 | |
Mrs. Julia Gourley, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2020 9th Ave, Longview, WA 98632 Phone: 360-423-5580 Fax: 360-425-5596 | |
Mr. Robert Lee Hammon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 Inglewood Park, Longview, WA 98632 Phone: 360-578-1512 | |
Thomas Gilbert Bingham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 Ocean Beach Hwy Ste 100, Longview, WA 98632 Phone: 360-501-5437 Fax: 360-208-8505 | |
Peeyush Ranjan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1717 Olympia Way, Longview, WA 98632 Phone: 360-636-1900 | |
Dr. Russell B Timms, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2020 9th Ave, Longview, WA 98632 Phone: 360-423-5580 Fax: 360-423-5596 |