Dr. Jae Marie Grymes
Pediatric Dentist Dentist Anesthesiologist
1290 Peoples Plz
Newark
, Delaware 19702-5701
Dr. Jae Marie Grymes
Pediatric Dentist Dentist Anesthesiologist
1290 Peoples Plz
Newark
, Delaware 19702-5701
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About
Features
Specialties
- Dentist Anesthesiologist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jae Marie Grymes
- 1290 Peoples Plz
- Newark, DE
- Zip : 19702-5701
- Phone :
Second Address
- Dr. Jae Marie Grymes
- 1290 Peoples Plz
- Newark, DE
- Zip : 19702-5701
- Phone : (302) 273-0247
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0004X | Dentist Anesthesiologist | 16241 | MD |
| Y | 1223D0004X | Dentist Anesthesiologist | G1-0001460 | DE |
| N | 1223P0221X | Pediatric Dentist | 16241 | MD |
| N | 1223P0221X | Pediatric Dentist | G1-0001460 | DE |
National Provider Identifier
| NPI | 1528409448 |
|---|---|
| Provider Name | Dr. Jae Marie Grymes |
| First Address | Newark, DE 19702-5701 |
| Second Address | Newark, DE 19702-5701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2013 |
| Last Update Date | 11/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.