Individual provider · Type 1 NPI

Michael Lillis Grimes, DMD

Pediatric Dentistry · Monroeville, PA

NPI number 1306837158 Active

Practice location

2550 Mosside Blvd, Suite 213
Monroeville, PA 15146-3540

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS-019035-L (PA)

Pediatric Dentistry: 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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About NPI 1306837158

Michael Lillis Grimes, DMD's National Provider Identifier is 1306837158, issued on Nov 1, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Monroeville, PA. The record was last updated on Dec 10, 2007.