Dr. Anthony Gragg, D.M.D., M.S.
Dentist, Prosthodontics in Raleigh, NC. Individual provider (NPI-1).
NPI number1174933519
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1174933519
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony Gragg
- Credential
- D.M.D., M.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2014
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 11682 | NC | Yes |
| 1223P0700X | Dentist, Prosthodontics | 016.0107689 | VT |
Practice location
7201 Creedmoor Rd Ste 120Raleigh, NC 27613-8000
Phone 919-846-6622
Mailing address
7201 Creedmoor Rd Ste 120Raleigh, NC 27613-8000
Phone 919-846-6622
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