DR. ROGER GLEN GRIMBALL JR. D.D.S.
NPI 1003830597
Dentist - Pediatric Dentistry in Sulphur, LA

Q: What is Roger Grimball's NPI number?

The NPI number for Roger Grimball is 1003830597. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Roger Grimball's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Roger Grimball was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2006

910 BEGLIS PKWY, SULPHUR, LA 70663(337) 625-2212(337) 625-3231 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Roger Glen Grimball Jr. D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER GLEN GRIMBALL JR. D.D.S. (NPI 1003830597) is an individual pediatric dentistry provider in Sulphur, Louisiana, licensed in Louisiana (5330) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003830597

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. ROGER GLEN GRIMBALL JR.Credential: D.D.S.

Location Address910 BEGLIS PKWYSulphur, LA 70663-5102

Mailing Address910 Beglis PkwySulphur, LA 70663-5102 · (337) 625-2212 · Fax (337) 625-3231

Phone(337) 625-2212

Fax(337) 625-3231

Sole ProprietorYes

Enumeration DateJuly 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003830597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in LA · 5330

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

910 BEGLIS PKWY, Sulphur, LA 70663

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Other Identifiers 1

Medicaid1853305LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Grimball's NPI number?

The NPI number for Roger Grimball is 1003830597. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Roger Grimball located?

Roger Grimball practices at 910 Beglis Pkwy, Sulphur, LA 70663. The listed phone number is (337) 625-2212.

What is Roger Grimball's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Roger Grimball was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.