Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENTLY ALLAN GRIMARD, D.D.S., M.S.
Active Sole ProprietorDR. BRENTLY ALLAN GRIMARD, D.D.S., M.S. is a Periodontology healthcare provider located in PUEBLO, Colorado. NPI 1093999179 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PUEBLO, CO
Registration Details
- NPI Number
- 1093999179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 24, 2007 (18.611510874472 yrs)
- Last Updated
- Dec 2, 2008
- License
-
8681 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3903 OUTLOOK BLVDPUEBLO, CO, 810081624Browse CO providers · Browse ZIP 81008
- Phone
- 7195456485
- Fax
- 7195456486
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in PUEBLO, CO
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN M PARRISH JR. | D.D.S. | 1649499559 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.