Grissett, Rodger Lance

Grissett, Rodger Lance is an individual health care provider with primary practice located at 19748 S Greeno Rd , Fairhope AL 36532. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Grissett, Rodger Lance can be contacted via phone (251) 990-5959.

Contact Information

Primary practice address
19748 S Greeno Rd Fairhope AL 36532
Phone: (251) 990-5959
Fax: (251) 990-8268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X AL4925 Alabama
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X AL4925 Alabama

Profile Details

NPI number 1952416869
LBN Legal business name Grissett, Rodger Lance
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952416869 NPPES
Alabama Other 51517934 BCBS OF AL

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