Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497197941 Individual Practitioner Female Practitioner

Dr. Nicole Dominique Grant , DMD

Dentist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Grant, DMD is a registered healthcare professional specializing in Dentist in Longview, WA. Practice services are available at 1461 BROADWAY ST APT A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1461 Broadway St Apt A

Longview, WA 986323724

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willamette Dental Facility NPI 1194143065

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Longview, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60396563

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

Dr. Jonathan Kim , DDS

Dentist - General Practice

NPI 1013568294

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2016

Registered at 1461 BROADWAY ST APT A, LONGVIEW, WA 986323724 (Tel: 8554336825)

📍
Updated Business Mailing Address August 22, 2016

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 4252938593)

👤
Provider Name / Credentials Updated August 22, 2016

Recorded as NICOLE GRANT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Dentist (License #DE60396563 in WA)

🟢
Initial NPI Registration & Enumeration July 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497197941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2013
Last Update: August 22, 2016
Sole Proprietor: No

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 4252938593

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.