| Jesse A. Grimm,dds Pa | |
|
851 Old Winston Road Suite 101 Kernersville NC 27284 | |
| (336) 996-7770 | |
| Not Available |
| Full Name | Jesse A. Grimm,dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 851 Old Winston Road, Kernersville, North Carolina |
| Authorized Official Name and Position | Jesse A. Grimm (PRESIDENT) |
| Authorized Official Contact | 3369967770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse A. Grimm,dds Pa 851 Old Winston Road Suite 101 Kernersville NC 27284 Ph: (336) 996-7770 | Jesse A. Grimm,dds Pa 851 Old Winston Road Suite 101 Kernersville NC 27284 Ph: (336) 996-7770 |
| NPI Number | 1225216377 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225216377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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