Bryan L. Grimmer, D.D.S.

General Practice Dentistry · Herndon, VA

Individual Active NPI

NPI number 1003095266

Practice location

102 Elden St
Suite 17
Herndon, VA 20170-4868
Phone
(703) 478-0315
Fax
(703) 478-7451

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NPI record

NPI
1003095266
Entity type
Individual (Type 1)
Enumeration date
October 24, 2007
Last updated
October 24, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401005512 VA

About Dr. Grimmer

Bryan L. Grimmer, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 102 Elden St, Suite 17, Herndon, VA 20170-4868. The NPI number 1003095266 was assigned on October 24, 2007 and the record was last updated on October 24, 2007.

Dr. Grimmer lists a license in the registry: #0401005512 (VA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan L. Grimmer, D.D.S.?

The NPI number is 1003095266.

What is the phone number of Dr. Grimmer?

The phone number listed for the practice location is (703) 478-0315.

Where is Dr. Grimmer located?

102 Elden St, Suite 17, Herndon, VA 20170-4868.

What is the taxonomy code for Dr. Grimmer?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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