NPI 1003830597 DR. ROGER GLEN GRIMBALL D.D.S. SULPHUR LA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Roger Glen Grimball - NPI: 1003830597

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. ROGER GLEN GRIMBALL
NPI Number: 1003830597
Entity Type Code: Individual (1)
Gender: M
Credentials: D.D.S.
License Number: 5330
Business Practice Address: 910 Beglis Pkwy
Sulphur, LA - 706635102
Business Phone Number: 3376252212
Business Fax Number: 3376253231
Mailing Address: 910 Beglis Pkwy,
SULPHUR
State: LA
Postal Code: 706635102
Phone Number: 3376252212
Fax Number: 3376253231
NPI Enumeration Date: 07/27/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223P0221X
License Number: 5330
Healthcare Provider Taxonomy:
(Secondary)
Y
State: LA
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: Pediatric Dentistry
Taxonomy Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.


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