institution
Roger Glen Grimball Jr. D.d.s. Llc
Pediatric Dentist in Sulphur, Louisiana
NPI 1821662297

Roger Glen Grimball Jr. D.d.s. Llc is a Pediatric Dentist based in Sulphur, LA and is specialized in Pediatric Dentistry. Roger Glen Grimball Jr. D.d.s. Llc practices in Sulphur, LA. The NPI Number for Roger Glen Grimball Jr. D.d.s. Llc is 1821662297 and holds a License No. (Louisiana).

The current practice location address for Roger Glen Grimball Jr. D.d.s. Llc is 1570 Maplewood Dr, Sulphur, LA and can be reached out via phone at 337-625-2212 and via fax at 337-625-3231. You can also correspond with Roger Glen Grimball Jr. D.d.s. Llc through the mailing address at 1570 MAPLEWOOD DR, SULPHUR, LA - 70663-5643 (mailing address contact number: 337-625-2212).

Location: 1570 Maplewood Dr, Sulphur, LA, 70663-5643
institution
Provider Profile Details
NPI Number
1821662297
Provider Name
Roger Glen Grimball Jr. D.d.s. Llc
Credential
Provider Entity Type
Organization
Address
1570 Maplewood Dr, Sulphur, LA, 70663-5643
Phone Number
337-625-2212
Fax Number
337-625-3231
Provider Enumeration Date
05/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1570 Maplewood Dr
City
State
Zip
70663-5643
Phone Number
337-625-2212
Fax Number
337-625-3231
person
Provider Business Mailing Address Details
Address
1570 Maplewood Dr
City
State
Zip
70663-5643
Phone Number
337-625-2212
Fax Number
331-625-3231
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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