| Roger Glen Grimball Jr. D.d.s. Llc | |
|
1570 Maplewood Dr Sulphur LA 70663-5643 | |
| (337) 625-2212 | |
| (337) 625-3231 |
| Full Name | Roger Glen Grimball Jr. D.d.s. Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1570 Maplewood Dr, Sulphur, Louisiana |
| Authorized Official Name and Position | Roger Glen Grimball (DENTIST) |
| Authorized Official Contact | 3376252212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Glen Grimball Jr. D.d.s. Llc 1570 Maplewood Dr Sulphur LA 70663-5643 Ph: (337) 625-2212 | Roger Glen Grimball Jr. D.d.s. Llc 1570 Maplewood Dr Sulphur LA 70663-5643 Ph: (337) 625-2212 |
| NPI Number | 1821662297 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821662297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Lake Area Dentistry-carlyss Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4985 Highway 27 S, Sulphur, LA 70665 Phone: 337-583-2756 | |
Sulphur Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-2671 | |
Drs Ellender And Ellender A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 1st Ave, Suite A, Sulphur, LA 70663 Phone: 337-527-6751 Fax: 337-527-6751 | |
E Suzanne Mccrory Dds Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3107 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-9911 Fax: 337-625-9912 | |
James M. Fontenot Dds And Barbara D. Fontenot Dds (a Professional Cor) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Cypress St, Sulphur, LA 70663 Phone: 337-527-3932 Fax: 337-625-5031 | |
Dr Richard J Martin A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Beglis Pkwy, Sulphur, LA 70663 Phone: 337-527-8527 Fax: 337-528-2568 | |
Manning Dental Associates Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-8787 Fax: 337-625-9835 |