DR. James Tillman Grogan JR., DDS

NPI #1265433239 in Little Elm, Texas

Provider Information

NPI Number: 1265433239
Entity Type: Individual
Name: DR. James Tillman Grogan JR., DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 2, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 800 W ELDORADO PKWY
Address 2: #124
City: Little Elm
State: Texas
ZIP Code: 75068
Phone: (972) 292-3820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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