Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN REED GROLL, DMD
Active Sole ProprietorMR. SHAWN REED GROLL, DMD is a General Dentistry healthcare provider located in HYRUM, Utah. NPI 1700801644 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HYRUM, UT
Registration Details
- NPI Number
- 1700801644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.099416139225 yrs)
- Last Updated
- Jul 8, 2007
- License
-
973464979922 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26 W MAIN STHYRUM, UT, 843191206Browse UT providers · Browse ZIP 84319
- Phone
- 4352455866
- Fax
- 4352455869
- Primary Specialty
-
General Dentistry
1223G0001X
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.