Provider Demographics
NPI:1427171891
Name:GRIGSBY, JAMES LOUIS (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LOUIS
Last Name:GRIGSBY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:LOUIS
Other - Middle Name:
Other - Last Name:GRIGSBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7424 GREENVILLE AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4552
Mailing Address - Country:US
Mailing Address - Phone:214-369-7000
Mailing Address - Fax:
Practice Address - Street 1:7424 GREENVILLE AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4552
Practice Address - Country:US
Practice Address - Phone:214-369-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice