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

Talva Grundstrom, D, MD

Individual provider Dentist · NPI 1023115821

Talva Grundstrom, D, MD is a Dentist in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2022 Williams St
Jefferson City, MO 65109-1186
Phone: (573) 634-4414
Fax: (573) 634-8385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 014579 (MO)

Record details

NPI number1023115821
Entity typeIndividual (Type 1)
GenderFemale
Credentials D , MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2022 Williams St, Jefferson City, MO 65109-1186

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