Grissom, Austyn C

Grissom, Austyn C is an individual health care provider with primary practice located at 27880 N Main St Ste A , Daphne AL 36526-7080. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is his primary health care specialty. Grissom, Austyn C can be contacted via phone (251) 383-3636.

Contact Information

Primary practice address
27880 N Main St Ste A Daphne AL 36526-7080
Phone: (251) 383-3636
Fax: (251) 383-3637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN27450 Florida
Dental Providers / General Practice 1223G0001X 6500 Alabama
Dental Providers / General Practice 1223G0001X 35040 Texas
Dental Providers / Endodontics 1223E0200X 6500 Alabama

Profile Details

NPI number 1285127951
LBN Legal business name Grissom, Austyn C
Credentials DMD MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2018
Last updated Oct 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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