DR. REX ELDON GRIZZLE DDS
NPI 1497818108
Dentist - General Practice in Pine Valley, CA

Q: What is Rex Grizzle's NPI number?

The NPI number for Rex Grizzle is 1497818108. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Rex Grizzle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Rex Grizzle 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 December 18, 2006

28914 OLD HWY 80, SUITE 104, PINE VALLEY, CA 91962(619) 473-8735(619) 473-8625 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Rex Eldon Grizzle Dds NPPES

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

DR. REX ELDON GRIZZLE DDS (NPI 1497818108) is an individual general practice provider in Pine Valley, California, licensed in California (28699) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1497818108

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. REX ELDON GRIZZLECredential: DDS

Location Address28914 OLD HWY 80, SUITE 104Pine Valley, CA 91962

Mailing AddressPo Box 839Pine Valley, CA 91962-0839 · (619) 473-8735 · Fax (619) 473-8625

Phone(619) 473-8735

Fax(619) 473-8625

Sole ProprietorYes

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497818108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 28699

Definition

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.

28914 OLD HWY 80, Pine Valley, CA 91962

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Other Identifiers 1

Other28699CA · State Dental License #

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AARON BRIAN PITTS DMD

Student in an Organized Health Care Education/Training Program

28914 OLD HWY 80, SUITE 104
PINE VALLEY, CA 91962

San Diego County (619) 473-8735

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 Rex Grizzle's NPI number?

The NPI number for Rex Grizzle is 1497818108. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Rex Grizzle located?

Rex Grizzle practices at 28914 Old Hwy 80 Suite 104, Pine Valley, CA 91962. The listed phone number is (619) 473-8735.

What is Rex Grizzle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Rex Grizzle 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.