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Kc Granger DDS PC

General Practice Dentistry in Mitchelleville, MD · enumerated 2010 · authorized official Kevin Granger, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982914305

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Registry record

Entity type Organization (Type 2)
Legal business name Kc Granger DDS PC
Practice address 1211 Enterprise Rd, Mitchelleville, MD, 20721
Enumeration date Oct 19, 2010
Last updated in NPPES Oct 25, 2023

Taxonomy & classification

1223E0200X Endodontics Dental Providers Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Secondary
261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities Secondary
1223G0001X General Practice Dentistry Dental Providers · License 14112 (MD) Primary

Authorized official

Name Kevin Granger
Title Owner

Other identifiers

Identifier Type State Issuer
39607900 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-25. Verify at npiregistry.cms.hhs.gov.
Where is Kc Granger DDS PC located?
The practice location on file with NPPES is in Mitchelleville, MD.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-25.