Grissom Endodontics and Microsurgery, Pllc

NPI #1891411658 in Daphne, Alabama

Provider Information

NPI Number: 1891411658
Entity Type: Organization
Organization Name: Grissom Endodontics and Microsurgery, Pllc
Primary Specialty: Dentist - Endodontics
Enumeration Date: Oct 13, 2022
Last Updated: Oct 13, 2022

Practice Location

Address: 27880 N MAIN ST STE A
City: Daphne
State: Alabama
ZIP Code: 36526-7080
Phone: (251) 383-3636

Authorized Official

Name: DR. AUSTYN COOPER GRISSOM, DMD, MSD
Title: ENDODONTIST
Phone: (251) 383-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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