# JOHNNY GRINSPAN INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Texoma Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316164361
- **Authorized official:** DR. JOHNNY ROLANDO GRINSPAN DDS (PRESIDENT)
- **Authorized official phone:** (903) 465-9500

## Contact information

- **Practice address:** 509 S MIRICK AVE, DENISON, TX 75020-4433
- **Practice address phone:** (903) 465-9500
- **Practice address fax:** (903) 465-9500
- **Mailing address:** 509 S MIRICK AVE, DENISON, TX 75020-4433
- **Mailing address phone:** (903) 465-9500
- **Mailing address fax:** (903) 465-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20582 | TX | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020