1. Home
  2. Directory
  3. Mississippi
  4. Madison
  5. Dentist
  6. NPI Profile

DR. HEATHERLY HENSON GRISSOM D.M.D.
NPI 1699921965
Dentist - General Practice in Madison, MS

Active since August 18, 2008
1896 MAIN ST, SUITE B, MADISON, MS 39110(601) 898-9390(601) 898-9395 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Heatherly Henson Grissom D.m.d. NPPES

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

DR. HEATHERLY HENSON GRISSOM D.M.D. (NPI 1699921965) is an individual general practice provider in Madison, Mississippi, licensed in Mississippi (3228-02) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1699921965
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HEATHERLY HENSON GRISSOMCredential: D.M.D.
Location Address1896 MAIN ST, SUITE BMadison, MS 39110-7676
Mailing Address1896 Main St, Suite BMadison, MS 39110-7676 · (601) 898-9390 · Fax (601) 898-9395
Phone(601) 898-9390
Fax(601) 898-9395
Sole ProprietorNo
Enumeration DateAugust 18, 2008
✔ NPI 1699921965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 3228-02
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.
1896 MAIN ST, Madison, MS 39110
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. BRADEN MCINTEER D.M.D.
Dentist (General Practice)
1896 MAIN ST, STE B
MADISON, MS 39110
Madison County (601) 898-9390
DR. JASON SCOTT GRISSOM D.M.D.
Dentist (General Practice)
1896 MAIN ST, SUITE B
MADISON, MS 39110
Madison County (601) 898-9390
DENTAL CARE OF MADISON
Dentist (General Practice)
1896 MAIN ST, SUITE B
MADISON, MS 39110
Madison County (601) 898-9390

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 Heatherly Grissom's NPI number?

The NPI number for Heatherly Grissom is 1699921965. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Heatherly Grissom located?

Heatherly Grissom practices at 1896 Main St Suite B, Madison, MS 39110. The listed phone number is (601) 898-9390.

What is Heatherly Grissom's specialty?

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

What insurance does Heatherly Grissom accept?

Health plans from Guardian list Heatherly Grissom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heatherly Grissom was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.