Roger Glen Grimball Jr DDS LLC
Roger Glen Grimball Jr DDS LLC is a Pediatric Dentistry in Sulphur, Louisiana. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1570 Maplewood DrSulphur, LA 70663-5643
Phone: (337) 625-2212
Fax: (337) 625-3231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1821662297 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Grimball — Dentist · (337) 625-2212 |
| Other names | Grimball Pediatric Dentistry |
| NPI enumerated | May 19, 2021 |
| Last updated in NPPES | July 28, 2021 |
| Certification date | July 28, 2021 |
| Mailing address | 1570 Maplewood Dr, Sulphur, LA 70663-5643 |
Other providers in Sulphur
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Dr. Roger Glen Grimball Jr., DDS
910 Beglis Pkwy, Sulphur, LA 70663-5102 · (337) 625-2212