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Dr. Brently Allan Grimard

Periodontist

3903 Outlook Blvd
Pueblo , Colorado 81008-1624

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Image

Dr. Brently Allan Grimard

Periodontist

3903 Outlook Blvd
Pueblo , Colorado 81008-1624

(719) 545-6486

Write a Review Save Call

Dr. Brently Allan Grimard

Periodontist

3903 Outlook Blvd
Pueblo , Colorado 81008-1624

(719) 545-6486 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Periodontist

Languages spoken

  • English

Location

3903 Outlook Blvd Pueblo , Colorado 81008-1624

First Address

  • Dr. Brently Allan Grimard
  • 3903 Outlook Blvd
  • Pueblo, CO
  • Zip : 81008-1624
  • Fax : (719) 545-6486
  • Phone : (719) 545-6485

Second Address

  • Dr. Brently Allan Grimard
  • 3903 Outlook Blvd
  • Pueblo, CO
  • Zip : 81008-1624
  • Fax : (719) 545-6486
  • Phone : (719) 545-6485

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FAQs


Where did Dr. Brently Allan Grimard attend graduate school?

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Where did Dr. Brently Allan Grimard do his residency?

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Where did Dr. Brently Allan Grimard do his fellowship?

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Is Dr. Brently Allan Grimard board certified?

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What type of doctor is Dr. Brently Allan Grimard

Periodontist

In what state does Dr. Brently Allan Grimard practice in?

Colorado

Where is Dr. Brently Allan Grimard ’s practice located?

3903 Outlook Blvd , Pueblo, Colorado, 81008-1624

What is Dr. Brently Allan Grimard ’s gender?

Male

Is Dr. Brently Allan Grimard a sole practitioner?

No

Is Dr. Brently Allan Grimard accepting new patients?

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What languages does Dr. Brently Allan Grimard speak?

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Does Dr. Brently Allan Grimard accept insurance?

Yes, Dr. Brently Allan Grimard accepts insurance

Does Dr. Brently Allan Grimard offers telemedicine?

Dr. Brently Allan Grimard has not indicated if he offers telemedicine

What is Dr. Brently Allan Grimard ’s professional license number?

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What is Dr. Brently Allan Grimard ’s NPI number?

1093999179

Does Dr. Brently Allan Grimard have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0300X Periodontist 8681 CO

National Provider Identifier

NPI 1093999179
Provider Name Dr. Brently Allan Grimard
First Address Pueblo, CO 81008-1624
Second Address Pueblo, CO 81008-1624
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 24/12/2007
Last Update Date 02/12/2008

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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