Provider Demographics
NPI:1659650273
Name:GRANT, JOSEPH III (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:GRANT
Suffix:III
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:USCG BASE NATIONAL CAPITAL REGION
Mailing Address - Street 2:2703 MARTIN LUTHER KING JR AVE SE USCG STOP 7201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593
Mailing Address - Country:US
Mailing Address - Phone:202-372-4100
Mailing Address - Fax:
Practice Address - Street 1:USCG BASE NATIONAL CAPITAL REGION
Practice Address - Street 2:2703 MARTIN LUTHER KING JR. AVE SE USCG STOP 7201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593
Practice Address - Country:US
Practice Address - Phone:202-372-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-13
Last Update Date:2025-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23239122300000X
MD15886122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist