DR. REX ELDON GRIZZLE DDS NPI 1497818108

NPI Information

  • NPI: 1497818108
  • Provider Name: DR. REX ELDON GRIZZLE, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 28914 OLD HWY 80
    SUITE 104
    PINE VALLEY, CA
    ZIP 91962
  • Phone: (619) 473-8735

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NPI Details

DR. Rex Eldon Grizzle, DDS is a general practice dentist in Pine Valley, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Rex Eldon Grizzle, DDS NPI is 1497818108. 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:

28914 OLD HWY 80
SUITE 104
PINE VALLEY, CA
ZIP 91962
Phone: (619) 473-8735
Fax: (619) 473-8625

The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice28699CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
128699OTHERCALIFORNIASTATE DENTAL LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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