Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Grill, DDS

Individual provider Periodontics · NPI 1518996099

Gary Grill, DDS is a Periodontics in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1421 Guerneville Rd Ste 102
Santa Rosa, CA 95403-7220
Phone: (707) 528-7000
Fax: (707) 528-2214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 27291 (CA)

Record details

NPI number1518996099
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address555 W Benjamin Holt Dr, Building B, Stockton, CA 95207-3839

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