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

Scott Charles Grilliot, DMD

Individual provider Dentist · NPI 1629811278

Scott Charles Grilliot, DMD is a Dentist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

921 S 8th Ave Stop 8088
Pocatello, ID 83209-4008
Phone: (208) 282-1040
Fax: (208) 282-1040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-5639 (ID)

Record details

NPI number1629811278
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address1500 E Venture Way Apt 3104, Pocatello, ID 83201-1203

Other providers in Pocatello