# KEVIN GRILL DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Family Dental Huntsville, Northwest Family Dental Marysville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477299253
- **Authorized official:** DR. KEVIN BRENNAN GRILL DDS (OWNER/DENTIST)
- **Authorized official phone:** (614) 827-5184

## Contact information

- **Practice address:** 7421 STATE ROUTE 366, HUNTSVILLE, OH 43324-9670
- **Practice address phone:** (937) 843-3932
- **Mailing address:** 6446 NEWGRANGE DR, DUBLIN, OH 43016-8210
- **Mailing address phone:** (614) 827-5184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2022
- **Last updated:** 01/21/2025