Organization · Type 2 NPI
Roger Glen Grimball Jr. D.d.s. LLC
Pediatric Dentistry · Sulphur, LA
NPI number
1821662297
Active
Practice location
1570 Maplewood Dr
Sulphur, LA 70663-5643
Fax (337) 625-3231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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.
Another provider at this address
About NPI 1821662297
Roger Glen Grimball Jr. D.d.s. LLC's National Provider Identifier is 1821662297, issued on May 19, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sulphur, LA. The record was last updated on Jul 28, 2021.