Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER GLEN GRIMBALL JR. D.D.S. LLC
Active OrganizationROGER GLEN GRIMBALL JR. D.D.S. LLC is a Pediatric Dentistry organization located in SULPHUR, Louisiana. NPI 1821662297 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SULPHUR, LA
Registration Details
- NPI Number
- 1821662297
- Provider Type
- Organization
- NPI Issued
- May 19, 2021 (5.2693898087124 yrs)
- Last Updated
- Jul 28, 2021
Practice Information
- Address
-
1570 MAPLEWOOD DRSULPHUR, LA, 706635643Browse LA providers · Browse ZIP 70663
- Phone
- 3376252212
- Fax
- 3376253231
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.