Dr. Roger Glen Grimball Jr. is a Sulphur, Louisiana based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Roger Glen Grimball Jr. is 5330 for Pediatric Dentistry in Louisiana. His current practice location is 910 Beglis Pkwy, Sulphur. Patients can reach him at 337-625-2212.
Dr. Roger Glen Grimball Jr. provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Roger Glen Grimball Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Roger Glen Grimball Jr.
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
910 Beglis Pkwy, Sulphur, Louisiana, 70663-5102
Phone:
337-625-2212
Fax:
337-625-3231
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1003830597
NPI Enumeration Date:
27 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roger Glen Grimball Jr. are as mentioned below.
License Number
Specialization
State
Status
5330
Pediatric Dentistry
Louisiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Roger Glen Grimball Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1853305
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
910 Beglis Pkwy, Sulphur, Louisiana
Zip:
70663-5102
Phone Number:
337-625-2212
Fax Number:
337-625-3231
Patients can reach Dr. Roger Glen Grimball Jr. at 910 Beglis Pkwy, Sulphur, Louisiana or can call to book an appointment on 337-625-2212. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.