1. Home
  2. Directory
  3. Louisiana
  4. Sulphur
  5. Dentist
  6. NPI Profile

ROGER GLEN GRIMBALL JR. D.D.S. LLC
NPI 1821662297
Dentist - Pediatric Dentistry in Sulphur, LA

Active since May 19, 2021
1570 MAPLEWOOD DR, SULPHUR, LA 70663(337) 625-2212(337) 625-3231 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2021, May 19, 2021 (2 updates tracked since 2021).

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

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

ROGER GLEN GRIMBALL JR. D.D.S. LLC (NPI 1821662297), doing business as Grimball Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Sulphur, Louisiana and active in the NPI registry since May 2021. The organization lists Roger Glen Grimball, Dentist, as its authorized official.

NPPES Registry Identity

NPI1821662297
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameROGER GLEN GRIMBALL JR. D.D.S. LLC
Location Address1570 MAPLEWOOD DRSulphur, LA 70663-5643
Mailing Address1570 Maplewood DrSulphur, LA 70663-5643 · (337) 625-2212 · Fax (331) 625-3231
Phone(337) 625-2212
Fax(337) 625-3231
Organization SubpartNo
Authorized OfficialRoger Glen GrimballDentist · (337) 625-2212
Enumeration DateMay 19, 2021
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1821662297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1570 MAPLEWOOD DR, Sulphur, LA 70663
Open in Google Maps ↗

Other Names 1

Doing Business AsGrimball Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. VIRGINIA NOCILLA GRIMBALL DDS
Dentist (General Practice)
1570 MAPLEWOOD DR
SULPHUR, LA 70663
Calcasieu Parish (337) 625-2212

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 Glen Grimball Jr. D.D.S. LLC's NPI number?

The NPI number for Roger Glen Grimball Jr. D.D.S. LLC is 1821662297. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is doing business as Grimball Pediatric Dentistry.

Where is Roger Glen Grimball Jr. D.D.S. LLC located?

Roger Glen Grimball Jr. D.D.S. LLC is located at 1570 Maplewood Dr, Sulphur, LA 70663. The listed phone number is (337) 625-2212.

What is Roger Glen Grimball Jr. D.D.S. LLC'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 Glen Grimball Jr. D.D.S. LLC was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.