Scott Charles Grilliot, DMD

NPI #1629811278 in Pocatello, Idaho

Provider Information

NPI Number: 1629811278
Entity Type: Individual
Name: Scott Charles Grilliot, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 13, 2024
Last Updated: Jun 24, 2024

Practice Location

Address: 921 S 8TH AVE STOP 8088
City: Pocatello
State: Idaho
ZIP Code: 83209-4008
Phone: (208) 282-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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