Grillon, George Louis
Grillon, George Louis is an sole proprietor health care provider with primary practice located at 10215 Fernwood Rd Suite 510, Bethesda MD 20817-1106. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Grillon, George Louis can be contacted via phone (301) 564-1400.Contact Information
Primary practice address
10215 Fernwood Rd Suite 510
Bethesda MD 20817-1106
Phone: (301) 564-1400
Fax: (301) 564-1413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 07800 | Maryland |
Profile Details
| NPI number | 1134271711 |
|---|---|
| LBN Legal business name | Grillon, George Louis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Aug 9th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134271711 | NPPES |
| Maryland | MEDICAID | 115951800 |
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