npidexNPI registry + Medicare data

EMILY GRISHAM, D.M.D

Pediatric Dentistry · HUNTSVILLE, AL

Individual Active Opted out of Medicare NPI 1114309705

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatric Dentistry1223P0221X✓6215AL
General Practice Dentistry1223G0001X6215AL
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2016-05-16 through 2028-05-16.

Other Pediatric Dentistry providers in Alabama

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.