Individual
DR. JESSE ARON GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
851 OLD WINSTON RD, SUITE 101, KERNERSVILLE, NC 27284-8780
(336) 996-7770
(336) 996-7782
Mailing address
851 OLD WINSTON RD, SUITE 101, KERNERSVILLE, NC 27284-8780
(336) 996-7770
(336) 996-7782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6226
LICENSES NUMBER
NC
05
—
8993337
—
NC
Enumeration date
06/29/2006
Last updated
03/07/2023
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