Individual
JAMES T GRIMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
551 GLOVER AVE, ENTERPRISE, AL 36330-2041
(334) 347-3061
(334) 347-1101
Mailing address
PO BOX 311185, ENTERPRISE, AL 36331-1185
(334) 347-3061
(334) 347-1101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3508
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86043
UNITED CONCORDIA
—
01
—
92840
BCBS
AL
Enumeration date
08/08/2006
Last updated
07/08/2007
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