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General NPI Number Information
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NPI Number | 1942229133
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Entity Type | Organization
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Legal Business Name | DRS. GRIMM AND SAWYER, FAMILY DENTAL PRACTICE, LLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 132 HOLIDAY CT SUITE 202
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7005
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Country | US
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Telephone | 410-266-6366
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Fax | 410-266-6366
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Provider Business Mailing Address
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Address Line | 132 HOLIDAY CT SUITE 202
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7005
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Country | US
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Telephone | 410-266-6366
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Fax | 410-266-6366
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID EDWARD GRIMM
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Credential | D.D.S.
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Telephone | 410-266-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | MD
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