Individual
DR. RODGER LANCE GRISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19748 S GREENO RD, FAIRHOPE, AL 36532
(251) 990-5959
(251) 990-8268
Mailing address
19748 S GREENO RD, FAIRHOPE, AL 36532
(251) 990-5959
(251) 990-8268
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
AL4925
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
AL4925
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51517934
BCBS OF AL
AL
Enumeration date
08/20/2006
Last updated
09/11/2025
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