| Grissom Endodontics And Microsurgery, Pllc | |
|
27880 N Main St Ste A Daphne AL 36526-7080 | |
| (251) 383-3636 | |
| (251) 383-3637 |
| Full Name | Grissom Endodontics And Microsurgery, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 27880 N Main St Ste A, Daphne, Alabama |
| Authorized Official Name and Position | Austyn Cooper Grissom (ENDODONTIST) |
| Authorized Official Contact | 2513833636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grissom Endodontics And Microsurgery, Pllc 27880 N Main St Ste A Daphne AL 36526-7080 Ph: (251) 383-3636 | Grissom Endodontics And Microsurgery, Pllc 27880 N Main St Ste A Daphne AL 36526-7080 Ph: (251) 383-3636 |
| NPI Number | 1891411658 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891411658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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