Provider Demographics
NPI:1679597306
Name:GRANBERRY, JAMES CURTIS (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CURTIS
Last Name:GRANBERRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 HIGH CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-2847
Mailing Address - Country:US
Mailing Address - Phone:281-286-4950
Mailing Address - Fax:
Practice Address - Street 1:3883 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7515
Practice Address - Country:US
Practice Address - Phone:713-629-0900
Practice Address - Fax:713-629-4990
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice