Provider Demographics
NPI:1316044092
Name:GRIGSBY, JAMES LOUIS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LOUIS
Last Name:GRIGSBY
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3232 BROADWAY BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1563
Mailing Address - Country:US
Mailing Address - Phone:972-271-1302
Mailing Address - Fax:972-926-5033
Practice Address - Street 1:3232 BROADWAY BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1563
Practice Address - Country:US
Practice Address - Phone:972-271-1302
Practice Address - Fax:972-926-5033
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8949122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist