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Dr. Brently Allan Grimard, DDS,MS
Periodontist in Pueblo, Colorado
NPI 1093999179

Brently Allan Grimard is a Periodontist based in Pueblo, CO and is specialized in Periodontics. Brently Allan Grimard practices in Pueblo, CO and has the professional credentials of DDS,MS. The NPI Number for Brently Allan Grimard is 1093999179 and holds a License No. 8681 (Colorado).

The current practice location address for Brently Allan Grimard is 3903 Outlook Blvd, Pueblo, CO and can be reached out via phone at 719-545-6485 and via fax at 719-545-6486.

Location: 3903 Outlook Blvd, Pueblo, CO, 81008-1624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093999179
Provider Name
Brently Allan Grimard
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
3903 Outlook Blvd, Pueblo, CO, 81008-1624
Phone Number
719-545-6485
Fax Number
719-545-6486
Provider Enumeration Date
12/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3903 Outlook Blvd
City
Pueblo
State
Colorado
Zip
81008-1624
Phone Number
719-545-6485
Fax Number
719-545-6486
person
Provider Business Mailing Address Details
Address
3903 Outlook Blvd
City
Pueblo
State
Colorado
Zip
81008-1624
Phone Number
719-545-6485
Fax Number
719-545-6486
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
8681 (Colorado)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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