DR. MIGUEL AGUSTIN GRILLO MD
NPI 1942340104
Dentist - Prosthodontics in San Diego, CA

Active since February 07, 2007
12264 EL CAMINO REAL STE 306, SAN DIEGO, CA 92130(858) 755-9810(858) 755-9813 Get Directions Write a Review

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

About Dr. Miguel Agustin Grillo Md NPPES

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

DR. MIGUEL AGUSTIN GRILLO MD (NPI 1942340104) is an individual prosthodontics provider in San Diego, California, licensed in California (41411) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1942340104
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. MIGUEL AGUSTIN GRILLOCredential: MD
Location Address12264 EL CAMINO REAL STE 306San Diego, CA 92130-3062
Mailing Address12264 El Camino Real Ste 306San Diego, CA 92130-3062 · (858) 755-9810 · Fax (858) 755-9813
Fax(858) 755-9813
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1942340104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in CA · 41411
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
12264 EL CAMINO REAL STE 306, San Diego, CA 92130

Other Providers at the Same Location NPPES 2

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

Dentist (Periodontics)
12264 EL CAMINO REAL STE 306
SAN DIEGO, CA 92130
Dentist (Prosthodontics)
12264 EL CAMINO REAL STE 306
SAN DIEGO, CA 92130

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 Miguel Grillo's NPI number?

The NPI number for Miguel Grillo is 1942340104. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Miguel Grillo located?

Miguel Grillo practices at 12264 El Camino Real Ste 306, San Diego, CA 92130. The listed phone number is (858) 755-9810.

What is Miguel Grillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Miguel Grillo 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.