Individual provider · Type 1 NPI

Maggie Grissom

Orthodontics and Dentofacial Orthopedics Dentistry · Fairhope, AL

NPI number 1649844887 Active

Practice location

7489 Parker Rd
Fairhope, AL 36532-3320

Mailing address

8423 Bluegate Ct
Houston, TX 77025-3213

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-0006868-C1 (AL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1649844887

Maggie Grissom's National Provider Identifier is 1649844887, issued on May 13, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fairhope, AL. The record was last updated on May 13, 2021.