Clark W. Grilliot, DDS

General Practice Dentistry · McAlester, OK

Individual Active NPI

NPI number 1215298567

Practice location

215 N 6TH St
McAlester, OK 74501-4737
Phone
(918) 423-0200
Fax
(918) 423-6940

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NPI record

NPI
1215298567
Entity type
Individual (Type 1)
Enumeration date
June 4, 2012
Last updated
June 4, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6390 OK

About Dr. Grilliot

Clark W. Grilliot, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 215 N 6TH St, McAlester, OK 74501-4737. The NPI number 1215298567 was assigned on June 4, 2012 and the record was last updated on June 4, 2012.

Dr. Grilliot lists a license in the registry: #6390 (OK) 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 Clark W. Grilliot, DDS?

The NPI number is 1215298567.

What is the phone number of Dr. Grilliot?

The phone number listed for the practice location is (918) 423-0200.

Where is Dr. Grilliot located?

215 N 6TH St, McAlester, OK 74501-4737.

What is the taxonomy code for Dr. Grilliot?

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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