Organization
GRISSOM ENDODONTICS AND MICROSURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTYN COOPER GRISSOM DMD, MSD (ENDODONTIST)
(251) 383-3636
Entity
Organization
Contact information
Practice address
27880 N MAIN ST STE A, DAPHNE, AL 36526-7080
(251) 383-3636
(251) 383-3637
Mailing address
27880 N MAIN ST STE A, DAPHNE, AL 36526-7080
(251) 383-3636
(251) 383-3637
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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