DR. Brently Allan Grimard, D.D.S., M.S. is a periodontics dentist in Pueblo, CO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Brently Allan Grimard, D.D.S., M.S. NPI is 1093999179. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3903 OUTLOOK BLVD
PUEBLO, CO
ZIP 81008-624
Phone: (719) 545-6485
Fax: (719) 545-6486
The NPI 1093999179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 12/24/2007 and was last updated on 12/2/2008.