Healthcare Provider Details

I. General information

NPI: 1417774290
Provider Name (Legal Business Name): GRIZZARD DENTAL ARTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E CITY POINT RD
HOPEWELL VA
23860-3910
US

IV. Provider business mailing address

114 E CITY POINT RD
HOPEWELL VA
23860-3910
US

V. Phone/Fax

Practice location:
  • Phone: 804-458-6020
  • Fax:
Mailing address:
  • Phone: 804-458-6020
  • Fax: 804-458-6092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM SAMUEL GRIZZARD III
Title or Position: OWNER
Credential: DDS
Phone: 804-458-6020