# EDWARD W GRIMES DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endodontic Associates of Tulsa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205095270
- **Authorized official:** DR. EDWARD W GRIMES DDS (OWNER)
- **Authorized official phone:** (918) 492-9415

## Contact information

- **Practice address:** 6112 E 61ST ST, TULSA, OK 74136
- **Practice address phone:** (918) 492-9415
- **Practice address fax:** (918) 492-3377
- **Mailing address:** 6112 E 61ST ST, TULSA, OK 74136
- **Mailing address phone:** (918) 492-9415
- **Mailing address fax:** (918) 492-3377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2748 | OK | Yes |
| 1223E0200X | Endodontics | 3 | OK | — |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008