John Coalson Grissom, DDS

General Practice Dentistry · Grapevine, TX

Individual Active NPI

NPI number 1982729372

Practice location

210 N Park Blvd
Suite 110
Grapevine, TX 76051-6985
Phone
(817) 488-8175
Fax
(817) 488-7995

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NPI record

NPI
1982729372
Entity type
Individual (Type 1)
Enumeration date
March 21, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14639 TX

About Dr. Grissom

John Coalson Grissom, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 210 N Park Blvd, Suite 110, Grapevine, TX 76051-6985. The NPI number 1982729372 was assigned on March 21, 2007 and the record was last updated on July 8, 2007.

Dr. Grissom lists a license in the registry: #14639 (TX) 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 John Coalson Grissom, DDS?

The NPI number is 1982729372.

What is the phone number of Dr. Grissom?

The phone number listed for the practice location is (817) 488-8175.

Where is Dr. Grissom located?

210 N Park Blvd, Suite 110, Grapevine, TX 76051-6985.

What is the taxonomy code for Dr. Grissom?

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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