| Dr Roger Glen Grimball Jr, DDS | |
|
910 Beglis Pkwy, Sulphur, LA 70663-5102 | |
| (337) 625-2212 | |
| (337) 625-3231 |
| Full Name | Dr Roger Glen Grimball Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 910 Beglis Pkwy, Sulphur, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003830597 | NPI | - | NPPES |
| 1853305 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5330 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Glen Grimball Jr, DDS 910 Beglis Pkwy, Sulphur, LA 70663-5102 Ph: (337) 625-2212 | Dr Roger Glen Grimball Jr, DDS 910 Beglis Pkwy, Sulphur, LA 70663-5102 Ph: (337) 625-2212 |
Dr. Judith Diane Ellender, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 910 1st Ave, Suite A, Sulphur, LA 70663 Phone: 337-527-6751 Fax: 337-527-6751 | |
Dr. Gary Kyle Slaven, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1215 S Post Oak Rd, Suite 7, Sulphur, LA 70663 Phone: 337-625-0008 | |
Dr. Charles James Ardoin Ii, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4985 Highway 27 S, Sulphur, LA 70665 Phone: 337-583-2756 Fax: 337-583-9031 | |
E.suzanne Mccrory, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3107 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-9911 Fax: 337-625-9912 | |
Dr. Richard James Martin, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1621 Beglis Pkwy, Sulphur, LA 70663 Phone: 337-527-8527 Fax: 337-528-2568 | |
Trace Lanier Lynn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3107 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-9911 Fax: 337-625-9912 |