Individual provider · Type 1 NPI

Heatherly Henson Grissom, DMD

General Practice Dentistry · Madison, MS

NPI number 1699921965 Active

Practice location

1896 Main St, Suite B
Madison, MS 39110-7676

Call (601) 898-9390 Map

Fax (601) 898-9395

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3228-02 (MS)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1699921965

Heatherly Henson Grissom, DMD's National Provider Identifier is 1699921965, issued on Aug 18, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Madison, MS. The record was last updated on Aug 18, 2008.