COVE FAMILY DENTAL – NPI #1881063105
Clinic/Center

COVE FAMILY DENTAL is an AHC clinic located in COPPERAS COVE, TX. NPPES has assigned the NPI number 1881063105 to COVE FAMILY DENTAL on September 16, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COVE FAMILY DENTAL” is a dba name, the actual legal business name for this organization is BRANDON L GRANTHAM DDS PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Oct 25, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COVE FAMILY DENTAL below.

NPI Profile for
BRANDON L GRANTHAM DDS PA

NPI Number
1881063105
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRANDON L GRANTHAM DDS PA
Doing Business As (dba): COVE FAMILY DENTAL
Primary location
1801 PATRIOT CIRCLE
COPPERAS COVE, TX 76522
Phone: (254) 547-6453 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRANDON GRANTHAM
OWNER
Phone: (254) 547-6453
Updated
Identifiers

Identifiers for COVE FAMILY DENTAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERUNITED CONCORDIATX1878704
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 TX 22297
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.