Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Dominique Grant, DMD

Individual provider Dentist · NPI 1497197941

Nicole Dominique Grant, DMD is a Dentist in Longview, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1461 Broadway St Apt A
Longview, WA 98632-3724
Phone: (855) 433-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE60396563 (WA)

Record details

NPI number1497197941
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 25, 2013
Last updated in NPPESAugust 22, 2016

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