Dr Rex Eldon Grizzle, DDS is a
Dentist - General Practice based in Pine Valley, California. Dr Rex Eldon Grizzle is licensed to practice in California (license number 28699) and his current practice location is
28914 Old Hwy 80, Suite 104, Pine Valley, California. He can be reached at his office (for appointments etc.) via phone at
(619) 473-8735.
NPI number for Dr Rex Eldon Grizzle is 1497818108 and his current mailing address is Po Box 839, Pine Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497818108.
Healthcare Provider's Profile
| Full Name | Dr Rex Eldon Grizzle |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 28914 Old Hwy 80, Pine Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497818108
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Rex Eldon Grizzle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497818108 | NPI | - | NPPES |
| 28699 | Other | CA | STATE DENTAL LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 28699 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rex Eldon Grizzle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rex Eldon Grizzle, DDS
Po Box 839,
Pine Valley, CA 91962-0839
Ph: (619) 473-8735 | Dr Rex Eldon Grizzle, DDS
28914 Old Hwy 80, Suite 104,
Pine Valley, CA 91962
Ph: (619) 473-8735 |
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